| Name_________________________ |
I
hereby apply for membership in UNI-United Faculty as a
continuing member. I understand that my membership
will continue from year to year until I withdraw in
writing. |
| Street
__________________________ |
|
| City
& Zip Code ________________ |
________________________________
Signature
|
| Home
Phone___________________ |
_____________________________
Date
|
| Office
______________________ |
Office Phone ___________ |
| Rank
________________________ |
Department
___________ |
| Social Security No.
_____________ |
|
| Please
Select One Dues Payment
Plan:
|
1. Annual Check
or Cash Payment
2. Automatic Payroll Deduction
Please specify if you are paid
Ten( ) or Twelve ( )
Times/Year.
|
| Upon completion of this form
please send it to: United Faculty AAUP, c/o A. Frank
Thompson, UNI Dept. of Finance (0124), Cedar Falls, IA.
50614-0124
OR
Bring the Completed Form to the United Faculty
Office in Room 5 of Baker Hall. |
|
|
Annual Membership
Dues for the 2006-07 Academic Year
Part-Time
$102
Entrant
$228
Full-Time
$408
Thank you for joining UF-AAUP,
we look forward to working with you to build a better
university at UNI. Welcome to UF-AAUP from the
----
Members of the UF-AAUP Executive Board, the Central
Committee
and the Membership of UF-AAUP |