2024 CUPAC Payroll Deduction Pledge Form

I would like to support credit unions by supporting CUPAC!

Our AMC family of companies plays a vital role in the success of credit unions in Iowa. The ability to move our industry forward relies on active engagement in the public policy arena. This engagement, in large part, comes from CUPAC.

CUPAC is our state Credit Union Political Action Committee that is supported by personal contributions, which in turn, are provided to legislative candidates who support the Iowa credit union industry. CUPAC operates in a bi-partisan manner and is one of the state’s strongest political action committees.

Below are suggested contributions based on your annual gross salary. Any contribution is greatly appreciated!
- Under $30,000 (suggested contribution is $1.50 per pay period or $39 annually)
- $30,000-$50,000 (suggested contribution is $3.50 per pay period or $91 annually)
- $50,000-$80,000 (suggested contribution is $5.00 per pay period or $130 annually)
- Greater than $80,000 (suggested contribution is $10.00 per pay period or $260 annually)

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* 1. Name:

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* 2. Home Address:

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* 3. Payroll Deduction Election:

$1.50 per pay period

$3.50 per pay period

$5.00 per pay period

$10.00 per pay period

Other (please specify)

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* 4. I understand that this deduction is not tax-deductible, strictly voluntary and will be used for political purposes. I also understand that I have the right to refuse to contribute without reprisal. And, I understand that I can cancel my participation at any time by contacting Human Resources. I understand that all recurring contributions must be renewed by December 31 each year. Lastly, I understand that this contribution will be reported, per law, to the Federal Election Commission.

I understand that by submitting this form, I am approving the above amount be deducted from my payroll each pay period.

Thank you for your consideration and support of CUPAC! Please contact Keisha Knepper at 515.224.8959 with any questions. One time contributions can be made by check made payable to CUPAC (mailed to PO Box 8467, Des Moines, IA 50301).