Membership Form
Social Security Number   
Institution
Department
Campus
Name        Dr.     Mr.     Mrs.     Ms.
First Middle Last
Address 
City   State   Zip 
Home Phone   Work Phone 
Email Address 
Please see online membership forms page for codes to use here.
Subject Code Position Code Ethnic Code Sex Yr. of Birth Registered Voter Party Affil. Code
UFF dues are one-percent (1%) of regular salary for members for which the United Faculty of Florida is the bargaining agent. Dues at non-bargaining institutions are determined annually. 2001-2002 dues for members at non-bargaining units are $351.50.

Please enroll me as a member of the United Faculty of Florida (UFF).

 Payroll Deduction.  I authorize my Employer to deduct from my salary, starting with the first full pay period after the date this authorization is received by the Employer, dues described above, and I direct and authorize my Employer to pay such amounts to UFF in accordance with payroll deduction procedures in effect. This deduction authorization shall continue until revoked by me at any time upon thirty days written notice to my institution's personnel office and to the UFF.

Direct Payment   I agree to pay UFF dues as described above  Annually  Semi-Annually  Quarterly

   Check enclosed  or  Charge to Visa  or  Charge to MasterCard
    Card Number    Expiration Date 


Member's Signature ________________________________________________ Date ______________
Dues and Contributions to UFF are not tax deductible as charitable contributions for federal income tax purposes, but may be tax deductible as professional business expenses.