I hereby authorize the Employees' Retirement System of Alabama to make a monthly deduction equal to that of the monthly rate of membership from my retirement check for payment of my professional dues to ARSEA/APEAL. This continuous authorization may be revoked by me at any time by notifying the Employees' Retirement System in writing.

By typing my name in the above box, I agree that the electronic signature appearing on the agreement are the same as handwritten signatures for the purposes of validity, enforceability, and admissibility.