EmersonAFEC.com
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Membership
Application (please print this page & mail) Name
_____________________________________________________ Last First MI Home Address (we are
required to use home addresses for AAUP election
materials) ____________________________________________________________ Street / Apt #
____________________________________________________________ City State Zip E-mail
__________________________________________________ Work Phone
_______________________________________________ Home Phone _______________________________________________ Office Address
_____________________________________________ ____________________________________________________________ Preferred mailing
address: ____ office ____ home (we are required to use home addresses for AAUP election materials) Academic
Field______________________________________________ ___ I enclose $70 for dues ($44 for mandatory national
and state conference dues, and $26 for local chapter dues). Attached is check payable to the AAUP. ____________________________________________________________ (Signature)
(Date) ___ Please do not include my name on any
non-AAUP mailing lists. Print and mail to the
Secretary of AFEC-AAUP: Diane Pansen,
169 Lakeshore Road #1, Diane’s campus mailbox on
the 11th floor of Ansin building, |
(2009–2014) (2001–2009) |
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© 2009 Affiliated Faculty of