TBA BankPac Solicitation Authorization Form – Tennessee Bankers Association

Please complete this form to allow BankPac to solicit voluntary contributions as outlined below.

For a printable version of this form, click here. You will need to download the form and fill it out using Adobe Acrobat Reader for the “Submit Form” button to work properly.

Questions? Contact Caroline Latham at Caroline Latham or call 615-244-4871

Name(Required)

Title(Required)

Company(Required)

Street Address(Required)

Street Address

City(Required)

State(Required)

Zip Code(Required)

Email(Required)

Authorization

On behalf of my company, I authorize BankPac to solicit voluntary contributions from the executive and administrative personnel for the following years. SIGNATURE REQUIRED FOR EACH YEAR.

2022

2023

2024

2025

2026

The Federal Election Commission requires members of the Tennessee Bankers Association (TBA) to sign this prior authorization form in order to be communicated with and solicited for BankPac, the association’s Political Action Committee (PAC).

Granting prior authorization to BankPac does not preclude employees of the company from contributing to other PACs, such as those supporting state or local candidates, as well as other national and ideological PACs. This authorization does not obligate you or anyone in your company to make a contribution. Permission may be withdrawn at any time.

If your company has given prior authorization to ABA, your company does not need to provide such authorization a second time to TBA.

Authorization

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