CrossState CUPAC Participation Agreement Form

By submitting this participation agreement, this credit union hereby authorizes CrossState Credit Union Association (CrossState) to solicit this credit union’s members and executive or administrative personnel for contributions to CrossState PAC, the federal PAC of CrossState, and/or CULAC, the federal PAC of Credit Union National Association (CUNA).

The credit union may only grant such prior approval to one trade association per calendar year. The credit union grants its permission to CrossState and CUNA for each of the years indicated below. The credit union has not approved a solicitation from any other trade association for these years.

Name(Required)

First Last

Credit Union(Required)

Email(Required)

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

2023

Name(Required)

First Last

2024

Name(Required)

First Last

2025

Name(Required)

First Last

2026

Name(Required)

First Last

2027

Name(Required)

First Last

CROSSSTATE PAC IS THE REGISTERED SEPARATE SEGREGATED FUND OF CROSSSTATE CREDIT UNION ASSOCIATION. ITS FEDERAL ELECTION COMMISSION ID # IS C00109397

I Would Like a Confirmation Email(Required)

Yes