UUP VOTE-COPE Voluntary Contribution Form

United University Professions
P.O. Box 15143
Albany, NY 12212-9954


  I hereby authorize regular payroll deductions from my earnings in the amount specified below as a voluntary contribution to be paid to VOTE-COPE, to be used in accordance with applicable law for the purpose of making political contributions in connection with federal, state and local elections. My contribution is voluntary, and I understand that it is not required as a condition of employment, and that I may revoke this authorization at any time by giving written notice to the Secretary/Treasurer of United University Professions. Approximately forty percent (40%) of your contribution is returned to the UUP Higher Education Action Fund.

If increasing your donation, choose “Other” below and enter the amount in the box indicated

Contribution per Pay Period:

Effective no earlier than*

* Required

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