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National Air Traffic Controllers Association PAC Form Mobile App

The National Air Traffic Controllers Association PAC Form mobile app is a simple consent form. It follows:

"I hereby authorize and direct the Federal Aviation Administration to deduct from my bi-weekly pay, the amount indicated below and forward such amount to the National Air Traffic Controllers Association (NATCA) Political Action Committee (PAC). This authorization is voluntarily made on my specific understanding: that the signing of this authorization and the making of these voluntary contributions are not conditions of membership in or employment by NATCA; that the amounts listed below are only suggestions and that I am free to contribute more, less or not at all without reprisal; that NATCA PAC will use the voluntary contributions it receives for political purposes, including but not limited to making contributions to and expenditures on behalf of candidates for federal, state and/or local offices and addressing political issues of public importance; and that federal law requires political committees to report the name, mailing address, occupation and name of employer for each individual whose contributions to the PAC aggregate in excess of $200 per calendar year. This voluntary deduction to contribute to NATCA PAC will remain in force until revoked by me in writing to the Treasurer of NATCA PAC."

This political action committee agreement app can be downloaded to an iPhone, iPad, or Android device. The agreement is saved in the GoCanvas Cloud and can be printed or saved as a PDF if you need it for your records or if it needs to be mailed to the Federal Aviation Administration.

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Take a peek inside the National Air Traffic Controllers Association PAC Form Mobile App

Included Features

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more features.'}}

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox

    NAME:

  • Ico textbox

    SOCIAL SECURITY # (LAST 4 DIGITS):

  • Ico dropdown

    FAA REGION:

  • Ico textbox

    FACILITY:

  • Ico dropdown

    BARGAINING UNIT:

  • Ico multiline

    HOME ADDRESS:

  • Ico textbox

    EMAIL:

  • Ico checkbox

    SIGN ME UP FOR NATCA GRASSROOTS ALERTS

  • Ico signature

    SIGNATURE:

  • Ico date

    DATE:

  • Ico dropdown

    ESTABLISH/CHANGE VOLUNTARY DEDUCTION:

  • Ico textbox

    OTHER:

  • Ico textbox

    I WANT TO INCREASE MY PAC CONTRIBUTION BY ADDING ($) TO THE AMOUNT I CURRENTLY GIVE.

  • Ico statictext

    such amount to the National Air Traffic Controllers Association (NATCA) Political Action Committ...

  • Ico statictext

    Contributions or gifts (including dues) to the labor organization above are not tax deductible as...

  • Ico statictext

    Privacy Act Statement:

  • Ico statictext

    Section 5525 of Title 5 United States Code (Allotments and Assignments of Pay) permits Federal Ag...

  • ...and More!

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