2012 National Cope Card - SEIU

Three Ways
You Can Help:
Contribute to COPE: COPE is the
political fund that gives SEIU members
a voice in politics and helps us hold
politicians accountable. COPE funds
help elect leaders like President
Obama and others who stand with
SEIU members.
Volunteer: Sign up to join our
movement and contact other
members and neighbors about the
importance of this election.
VOTE: Get out and vote this November
- and bring your friends, family and
coworkers with you!
Working Families Need President Obama -
And President Obama Needs Us.
In 2008, we made history, electing a
champion for working families.
Since then, President Obama signed
the Recovery Act and other crucial
initiatives and we’ve seen more
than 4 million jobs created. He also
prevented hundreds of thousands
of layoffs in the health care industry,
education and public sectors.
President Obama is Standing Up
for the 99%.
Extremists in Washington want
to give more tax breaks to
millionaires and protect tax breaks
for corporations that ship American
jobs overseas, but you can stop them.
Vote. Volunteer. Contribute.
Sign Up For SEIU COPE Today.
Working Families Need President Obama -
And President Obama Needs Us.
Vote. Volunteer. Contribute. Sign Up For SEIU COPE Today.

✁
What’s At Stake for
Working Families in 2012:
YES, I WANT TO HELP SEIU COPE.
I hereby authorize my employer to make monthly deductions from my paycheck in the sum of
(please check one):
• Forcing Millionaires and Corporations to Pay Their Fair Share:
If Mitt Romney gets to the White House, he’ll give more tax breaks
to millionaires and corporations that ship jobs overseas.
• Protecting Your Right to Organize: President Obama has
fought back against attempts to roll back workers’ collective
bargaining rights.
• Expanding Access to Affordable Health Care and Education:
President Obama has increased Pell Grants and made student
loans more affordable, and his health care law will ensure that
millions of working families have access to quality, affordable care.
❑ $10 ❑ $15 ❑ $20 ❑ Other $
This authorization shall remain in full force and effect until
revoked in writing by me. This authorization is voluntarily
made with my specific understanding that I am not required
to sign this form or make COPE contributions as a condition
of my employment or membership to the union; I may refuse
to contribute without any reprisal; only union members and
union executive/administrative staff who are U.S. citizens
are eligible to contribute to SEIU COPE. SEIU COPE uses the
money it receives for political purposes, including but not
limited to addressing political issues of public importance
and contributing to and spending money in connection
with federal, state and local elections. Contributions to SEIU
COPE are not deductible for federal income tax purposes.
By my signature, I state that I have reviewed and agree with
terms as stated above.
Signature
❑ By checking this option you are signing up
for text message alerts, which your cell phone
provider may charge you for.
First name
Last name
House # Street Name Apt. #
City/Town
Zip
Email address
Home phone
Cell phone
Local Union
Name of Employer
Employer Address
Registered to vote at current address?
❑ Yes ❑ I’m not sure. Please send me a voter registration form.
Date
Collected by