UW Chapter AAUP Membership Card 
Joining is easy.
Most UW members choose payroll deduction. You can also enclose a check. 

In either case send this form to: 
Bert Stover
Treasurer, AAUP UW Chapter 
317 NW 90th ST Seattle WA, 98117
Phone: 206 781-1838 

NAME (print)_______________________________________________________________ 

Academic Title_______________________________ Email__________________________ 

DEPARTMENT_______________________________________ Mail Stop_______________ 

ADDRESS Street_____________________________________________________________

City______________________________ St___________ Zip_______________ 

Employee ID number___________________(only for payroll deduction)
 
Payroll Deduction? YES_____  or Check enclosed_____(payable to: AAUP) 

Annual Dues (Please select a dues amount based on academic income) 
$0 to $30,000: $61 
$30,001 – $40,000: $78 
$40,001 – $50,000: $101 
$50,001 – $60,000: $124 
$60,001 – $70,000: $170 
$70,001 – $80,000: $198 
$80,001 – $100,000: $222 
$100,001 – $120,000: $244 
More than $120,000: $268

Signature_____________________________________________________ 

Date__________________________________