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Name__________________________
Work Address_______________________
City__________________________ State_________Zipcode____________
Country (Other than U.S.)__________________
Home Address_______________________
City__________________________ State_________Zipcode____________
Country (Other than U.S.)__________________
My preferred mailing address is my ____home _____ work address
Daytime Telephone (_____)______________________
E-mail address________________________
Institution_____________________________________
Academic Field and Rank_________________________
Tenured yes no
Please check if you do not wish to include your name on non-AAUP
mailing lists.
$_____ National* & Conference Dues
$_____ Chapter Dues
My check (payable to: AAUP) is enclosed for $______
Please charge $______ to Mastercard Visa
Card No._____________________________________________________
Exp. date________________________________
Signature_________________________________________
**National dues may be tax deductible as a charitable contribution
except for $30 attributable to Academe. Most conference/chapter
dues are not tax deductible. Please consult your lawyer.
Please send your application & dues to: AAUP, P.O. Box 96132,
Washington, DC 20077-7020.
If you have questions, please contact Janice
Ryan-Arnold.
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