OEA-PAC Contribution Form

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Your Information

First Name Middle Name (Optional) Last Name

Date of Birth

Street Address Address Line 2 (Optional)

Postal Code City State/Province

Preferred (non-work) Email Home Phone (Optional) Mobile Phone

Okay to text me.

(1) By checking this box, I understand that the National Education Association and its affiliates including the Oregon Education Association, the local Association, NEA Member Benefits, and NEA360 may use automated calling techniques and/or text message me on my cellular phone on a periodic basis. The National Education Association, the Oregon Education Association and the local Association will never charge for text message alerts. Carrier message and data rates may apply to such alerts.

(2) Member email addresses are stored in a database shared by the National Education Association, OEA, and local affiliates. Email lists are not sold, leased, or rented to any other organizations.

Remember me so that I can use FastAction next time.

(Optional)

Monthly Payroll Deduction

Employer Name

Local/Chapter Name

Worksite

Occupation/Job Title/Position Title

Asserted Name (Optional)

Last 4 digits of your SSN

Consent for payroll deduction

I consent to payroll deduction in the amount specified below.

APPLICANT SIGNATURE: Typing your full name and date constitutes your legal signature, verifying that all information entered on this form is true and accurate to the best of your knowledge.

Today's Date

* I understand that checking this box constitutes a legal digital signature confirming my understanding and agreement to all of the terms above, and my consent to engaging in this transaction by electronic means.

I agree

I'm contributing monthly to OEA-PAC and the NEA Fund!

$20 to OEA-PAC and $2 to NEA Fund per dues deduction month

$10 to OEA-PAC and $1 to NEA Fund per dues deduction month

$20 to OEA-PAC and $0 to NEA Fund per dues deduction month

$10 to OEA-PAC and $0 to NEA Fund per dues deduction month

To enter different amounts, check the 'Other amount' box and enter two numbers (ex. $5 OEA PAC, $0 NEA PAC)

Other amount per month ($5 min for OEA-PAC, $5 min for the NEA Fund)

I'm contributing monthly to my Local PAC (Beaverton EA, Eugene EA, and Portland AT members only) (Optional)

$10 per dues deduction month

$5 per dues deduction month

To enter a different amount, click the 'Other amount' checkbox and enter in your desired monthly contribution.

Other amount per month

Want to make a one-time donation? Click here.

Oregon Education Association – Political Action Committee (OEA-PAC) collects voluntary contributions from members to support recommended candidates in state elections. The National Education Association Fund for Children and Public Education (NEA Fund) collects voluntary cotributions from Association members and uses these contributions for political purposes, including, but not limited to, making contributions to and expenditures on behalf of friends of public education who are candidates for federal office. Only U.S. citizens or lawful permanent residents may contribute to The NEA Fund.

Contributions to OEA-PAC and The NEA Fund are voluntary; making a contribution is neither a condition of employment nor membership in the Association, and members have the right to refuse to contribute without suffering any reprisal. Although OEA suggests an annual contribution of $100 to OEA-PAC and $20 to The NEA Fund, these are only suggestions. A member may contribute more or less than the suggested amount or may contribute nothing at all, without it affecting his or her membership status, rights or benefits in OEA, NEA or the Local Education Association. Contributions or gifts to The NEA Fund are not deductible as charitable contributions for federal income tax purposes. Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation and name of employer for each individual whose contributions aggregate in excess of $200.00 in a calendar year. Federal law prohibits The NEA Fund from receiving donations from persons other than members of NEA and its affiliates, and their immediate families. All donations from persons other than members of NEA and its affiliates, and their immediate families, will be returned forthwith.

If you wish to contribute, please check the boxes marked for NEA-FCPE or OEA-PAC and write in your contribution amount. Contributions in these amounts will be deducted for the current membership year and for each membership year thereafter in accordance with the payroll deduction procedure. Contributions to OEA-PAC are eligible for a state tax credit of up to $50.00 per individual return or $100.00 per joint return. OEA, NEA and local association dues payments and OEA-PAC and The NEA Fund contributions and gifts are not deductible as charitable contributions for federal income tax purposes. OEA, NEA and local association dues payments (or a portion) may be deductible as a miscellaneous itemized deduction.

Per dues deduction month equals the number of monthly payroll dues deductions in your local association contract.