Application Form for NEW AUP Membership   

           
1.Name ___________________________________________	2. Today’s Date ____________________

3. Address ___________________________________________________________________________

4. City, State, Zip _______________________________________________________________________

5. Phones  (Home) ______________________ (Work) ________________ (Cell/Fax) __________________

6. Email _____________________________________       7. Birth date (month/day only) ______________

8. Marital Status:  Single ______ Separated ______ Divorced ______ Widowed ______

9. Graduate of which (4-year) College/University: _______________________________________________

           City _________________________  State _______ Degree ___________________  Year _________

10.Version of  monthly AUP Newsletter you desire:  (check one)
            Electronic Email-only_______ ($24 a year)                   Regular postal mail _____ ($30 a year)

11. How did you hear about us? (check all that apply)
     Magazine____ Newspaper _____ Word of mouth _____ Internet search _____ Other _______________

12. AUP issues a membership directory to all members at the beginning of their affiliation with us and
thereafter once a year in the Spring and roster update in the Fall.  If you would like to be included 
in the next edition of the AUP Member Directory, please place a checkmark after each item indicating
the information you would like to have included.
Name _____  Address_____  Home Phone ____ Work Phone ____ email_____  cell/ fax ___ birth date____

		13. Signature __________________________________

Cost of Joining: There is no special initial fee to join. Our regular dues for 2012 are $24.00 for the year and are due Jan.1, 2012. If you are joining  later in the year, dues are prorated, so you can make out the check for less than $24, namely $2.00 for each month remaining in the calendar year. If you wish your newsletter delivered by regular postal mail, however, your dues are increased to $30 a year/ $2.50 per month.

Procedure for Joining: Gather these three (3) items--(1)this signed application form, (2) your check (payable to Association of University People) and (3)your proof of eligibility—and mail them to the address listed below. For eligibility, Please include a proof of graduation (e.g., a photocopy of your diploma) and indicate if you wish it to be returned to you. Applications are accepted only at the monthly meeting or by regular mail.

In about 2-3 weeks, the Membership Director will acknowledge your membership application and send you a welcome letter and the current AUP Directory.

Summary of procedure: Send this form,   prorated dues ($2/ $2.50) for each month left in the calendar year)  and proof of graduation to:

                           Marjorie Snyder                       

                                 AUP New Member Coordinator
                     2688 Santa Barbara Drive
              Bethel Park, Pa 15102.

If you have any questions please contact marjoriesAUP@verizon.net

Welcome to AUP!