AAUP Payroll Deduction Authorization

 I, (signature)_________________________________________ (date)_______________
authorize the regular deduction from my salary of national, state, and local AAUP dues in the amounts shown below by the Auburn University Chapter of the American Association of University Professors. Such deduction will be in five (5) equal installments from January through May. This authorization will continue in force unless revoked by me in writing no sooner than fourteen (14) days preceding the anniversary date of this authorization.

Name _______________________________________________________________
           Last First Middle

Preferred Mailing Address

            _______________________________________________________

            _______________________________________________________
            City State Zip

Daytime Telephone Number ______________________________

Department_____________________________________________

Subject or discipline (if different from department)

_______________________________________________________

Rank: Full Professor_____ Associate_____ Assistant_____ Instructor______Lecturer_______

Tenured? Yes ______ No______

Banner ID Number: ______________

Dues (Please check one):

Dues Calculated by Academic Income

____ $61        $30,000 and less    (National = $46+ State Conf. = $5 + Local Chapt. = $10)

____ $76        $30,001–$40k        (National = $61+ State Conf. = $5 + Local Chapt. = $10)

____ $97        $40,001–$50k       (National = $82 + State Conf. = $5 + Local Chapt. = $10)

____ $117      $50,001–$60k      (National = $102 + State Conf. = $5 + Local Chapt. = $10)

____ $161      $60,001–$70k      (National = $143 + State Conf. = $5 + Local Chapt. = $10)

____ $182      $70,001–$80k      (National = $168 + State Conf. = $5 + Local Chapt. = $10)

____ $204      $80,001–$100k    (National = $189 + State Conf. = $5 + Local Chapt. = $10)

____ $224      $100,001–$120k  (National = $209 + State Conf. = $5 + Local Chapt. = $10)

____ $245      More than $120k  (National = $230 + State Conf. = $5 + Local Chapt. = $10)
 

Please print, fill out and return form to:
David Carter   

History  

310 Thach Hall   

334-844-6859