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By clicking submit, I hereby authorize a deduction in the amount of $5.00 from my monthly pension check to cover my membership dues for the Los Angeles Retired Fire & Police Association, Inc. If at any time the amount of said dues should be changed by the Board of Directors of the Los Angeles Retired Fire & Police Association, Inc. - I hereby authorize the deduction from my pension and the payment to the Los Angeles Retired Fire & Police Association, Inc. for this purpose, such sum as may be specified by the Board of Directors of the Los Angeles Retired Fire & Police Association, Inc. This Authorization shall be effective until canceled by me.

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