TEMPLE ASSOCIATION OF
T A U P
UNIVERSITY PROFESSIONALS
I ’ M J O I N I N G TA U P !
Name:
Temple Email:
Title:
Non-Temple Email:
College:
Address:
Department:
Date of Hire:
Temple ID:
Cell Phone:
1 3 0 1 C e c i l B . M o o r e A v e n u e ( 0 0 4 - 1 5 ) , R i t t e r H a l l A n n e x 7 2 1 , P h i l a d e l p h i a , PA 1 9 1 2 2 - 6 0 9 1
P: 215-763-2287 or 215-204-7641, [email protected], taup.or g
Philadelphia, PA
211
I, the undersigned, a member of the Temple Association of University Professionals, United Academics of
Philadelphia, AFT-PA, AFT, AFL-CIO, authorize Temple University to deduct all dues payments authorized by
the TAUP Constitution and Bylaws from my salary and to remit the amounts so deducted to TAUP. This
authorization will remain in full force and effect until revoked by me in writing. A written notice of the
revocation will be sent to TAUP and Temple during the first 15 days of October in any calendar year.
Signature / Date:
I hereby authorize TAUP to deduct from my monthly paycheck a voluntary monthly contribution to the
TAUP COPE FUND. I make this contriubtion pursuant to the provision of Article V, Section 4, of the TAUP
Bylaws. This voluntary contribution shall continue at the same monthly amount unless I increase, decrease,
or revoke this authorization. I understand that I may revoke this authorization at any time by notifying the
TAUP in writing of my desire to do so. I sign this authorization freely and voluntarily and not out of any fear
of reprisal, and I will not be favored or disadvantaged because I exercise this right. I understand this money
will be used for political contributions and expenditures in connection with federal, state, and local elections.
Contributions to TAUP/COPE are not deductible as charitable contributions for Federal Income Tax
purposes.
The amount to be witheld shall be the whole dollar amount per month of $__________. (This must be a
whole dollar amount, i.e., $3.00, 15.00, etc.). The deductions will be made from every regular paycheck (12
per year).
Signature / Date: