Permission Agreement For Solicitation

First Name

Last Name

Job Title

State League

Credit Union

Authorization

Please re-enter your name for each year during which you would like the permission agreement to be active.

Select all the years needed and sign by filling out your First and Last Name for each year.

2023

First Name

Last Name

2024

First Name

Last Name

2025

First Name

Last Name

2026

First Name

Last Name

2027

First Name

Last Name

CULAC IS THE REGISTERED SEPARATE SEGREGATED FUND OF THE CREDIT UNION NATIONAL ASSOCIATION, INC., AND ITS FEDERAL ELECTION COMMISSION ID # IS C00007880.