The NewsGuild of Greater Philadelphia

Declaration: I designate The NewsGuild-CWA Local 38010 as my collective bargaining representative, and to represent me before any Board, Court, Committee or other tribunal in any matter involving collective bargaining. I authorize the NewsGuild-CWA and its Local to represent me in adjusting any grievances I may have in connection with my employment. I pledge to abide by the Constitution of the Communications Workers of America and The NewsGuild-CWA, and by the By-laws of the Local Guild.

I hereby authorize the employer to deduct my Guild membership dues from any salary earned. Dues, assessments, contributions or gifts to The NewsGuild-CWA Local 38010 are not deductible as charitable contributions. Dues paid to The NewsGuild-CWA Local 38010, however, may qualify as business expenses and may be deductible in limited circumstances subject to various restrictions imposed by the Internal Revenue Code (TNG-CWA Constitution requires that, when turned into the Guild this form be accompanied by an initiation fee).