Providing hope to AFA members

 

Automatic Payroll Deduction Form

I hereby authorize and direct my Company to deduct the following amount from the gross earnings of each of my paychecks and remit to The Pegasus Project. This assignment, authorization and direction shall remain in effect until revoked by me in writing to The Pegasus Project.

 

ڤ $2.00 ڤ $5.00 ڤ Other Amount $________

 

ڤ $3.00 ڤ $10.00 ڤ Changing Previous Deduction to $________

 

_________________________________ __________________________________

Print Last Name Print First Name

____________________________________ _____________________________________

Airline Domicile

____________________________________ (_________)___________________________

Employee Number Phone Number

____________________________________ ____________________ ______ _________

Address City State Zip Code

____________________________________ ______________________________________
Signature Date

 

 

 

Please send this form to the following address or submit to your Local Union Office

The Pegasus Project

PO Box 40035

Phoenix, AZ 85067-0035


 

The Pegasus Project is a Non-Profit Organization, which provides financial grants to members of AFA who are facing life-threatening illness or injury. No portion, of a member’s dues, are used to support Pegasus. The success of the Pegasus Project is dependant on the generosity of AFA members making donations through automatic payroll deductions and through Council Fundraising Events. Donations to Pegasus are tax-deductible. Thank you for supporting The Pegasus Project!