Union dues and other payments made to the Union are not tax-deductible...

I voluntarily submit this Application for Membership with the River City Trades Union (“Union”), an employee organization created through affiliation of the IUOE Local No. 49 and IBT Local No. 120, so that I may fully participate in the activities of the Union. I agree that I will not violate any of the provisions of the Constitution, Rituals, By-Laws, Customs, Rules or Mandates of River City Trades Union, IUOE Local No. 49, or IBT Local No. 120, or enter into any contract or agreement which provides for the withdrawal of my membership from the Union. I understand that only as a dues-paying member of the Union will I be entitled to the rights and responsibilities of Union membership.

I hereby designate the River City Trades Union to represent me for the purpose of collective bargaining and in any and all other situations that may arise under the operation of the Minnesota Public Employment Labor Relations Act.

I hereby authorize my Employer to deduct from my wages an amount equal to the regular monthly union dues, initiation fees, administrative and/or working dues, transfer fees, reinstatement fees, fines and back dues owing to IUOE Local No. 49 and/or IBT Local No. 120, as affiliates of River City Trades Union, of which I am a member or about to become a member and direct that such amounts so deducted be sent to IUOE Local No. 49 and/or IBT Local No. 120 on my behalf.

This authorization is voluntary and is not conditioned on my present or future membership in the Union.

This authorization and deductions may be terminated by me by giving you ten (10) days’ written notice in advance or upon termination of my employment. Unless revoked in the aforesaid manner, this authorization shall renew itself from year to year from the date hereof.

I subscribe, freely and voluntarily the sum indicated on the previous page each week to DRIVE with the understanding that this voluntary contribution may be used by DRIVE for political purpose, including contributions to support candidate for local, state and federal offices. I understand my right to refuse to contribute without reprisal and that the amounts listed serve merely as suggestions. I am free to subscribe more, less, or nothing, without benefit or disadvantage.

I further hereby authorize and request my employer to deduct from my earnings the sum indicated on previous page each week to be remitted to National DRIVE.

I reserve the right in accordance with the applicable state or federal laws to revoke this voluntary authorization at any time by giving written notice of such revocation to National DRIVE in accordance with such laws or otherwise.

A copy of the DRIVE report is filed with the Federal Election Commission and is available by visiting https://www.fec.gov/data/. Donation not U.S. tax deductible