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UNI-UNITED FACULTY MEMBERSHIP APPLICATION AND 
DUES AUTHORIZATION FORM

 
 
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

                                      

 

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Last Modified: 12/10/07