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I understand that false or misleading information given in my application may result in termination of my SRPE membership. I further understand that there will be a 2 (two) month probationary period that I may have fewer rights than I will enjoy after this period. During this period SRPE’s ability to represent me by be limited. My signature at the end of this application indicates that I understand that SRPE does not provide any representation for any condition that existed before, or at the time of my signing this application.

By checking this box and completing the digital signature field, I authorize the Santa Rosa Professional Educators (SRPE) to deduct dues from my bank account or the payment method I have selected, as annually certified by SRPE. These deductions will be made in equal, recurring installments, in alignment with the district payroll schedule. I hereby relinquish all rights and claims to the monies deducted and transmitted in accordance with this authorization and absolve SRPE, its officers, employees, and agents from any liability related to these deductions. This authorization shall remain in full force for the duration of this agreement, unless SRPE receives a written revocation notice from me at least thirty (30) days in advance.

I understand that by clicking the "Submit" button, I must add a payment method to my SRPE account. Membership authorization will not be considered complete until my payment method has been verified and deemed reliable for fulfilling payment obligations. I further agree that a digital signature shall be effective to prove assent to the terms of this membership application and that the terms of this application may be proved through electronic facsimile, including a scanned electronic copy in PDF or other digital format, and that the documents required by law to be retained related to membership in SRPE may be retained in digital format.