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Permission Agreement

 

Click here to print a blank Permission Agreement Form or complete and submit the online form below.

 

Permission Agreement for Solicitation

This credit union hereby authorizes the Pennsylvania Credit Union Association to solicit this credit union's members and executive or administrative personnel for contributions to PACULAC (the Association's federal Political Action Committee).  Communications will be directed to the credit union President/CEO.

The credit union may only grant such prior approval to one trade association per calendar year.  The credit union grants its permission to  the Pennsylvania Credit Union Association for each of the year(s) indicated below.  The credit union has not approved a solicitation from any other trade association for these years.

 





 

AUTHORIZATION

Please check the year and re-enter your name underneath for
each year during which you would like the permission agreement to be active:

 







 

Thank you for your support!

 

           

 

PACULAC is the registered separate segregated fund of the Pennsylvania Credit Union Association, and its Federal Election Commission ID # is C00109397.

A confirmation e-mail of your agreement will be sent to the e-mail address listed above upon submission. 
Please keep a copy on hand at the credit union for your records.


Contact Information:  

Christina Mihalik   |   800-932-0661 x 2282

Contributions to PACULAC are not tax deductible.  Individuals who are associated with CUNA's state credit union leagues or with CUNA-affiliated credit unions that have signed a permission agreement with their leagues are eligible to participate in CULAC.  All contributions to PACULAC are strictly voluntary and will be used for political purposes.  You have the right to refuse to contribute without any reprisal.

 

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