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AUTHORIZATION FOR WITHHOLDING OF DUES

I hereby authorize Moore College of Art & Design to deduct from my salary a sum equal to the dues of the Moore Federation of Teachers. I further authorize and direct Moore College of Art & Design to withhold in monthly installments and to pay in monthly installments the dues to the Moore Federation of Teachers. This authorization will remain in effect until further notice unless changed or terminated by me in written notification to the MFT and MCAD no earlier than 30 days prior to the expiration of the current contract.

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This form goes to Rachel Phillips, Human Resources Manager with a copy to Maureen Pelta, President, MFT.