Provide information listed below, sign the form and mail to the address given below.
(Note: You can type in information and print out the form by clicking on PRINT on your browser, or print the form first and fill it in.)
ACSUP MEMBERSHIP APPLICATION
I wish to join the Association of California State University Professors and hereby authorize the State Controller to deduct and transmit monthly from my salary or wages membership dues in the amount of $7.00 for Professor and Director-Library or Associate Director-library, $6.00 for Associate Professor and Associate Librarian, $4.00 for Instructor, senior Assistant Librarian, or Associate Member. This authorization will continue in effect until my employment is terminated, or until I submit written notice of cancellation.
Name
Social Security Number
University
Department
Position
Signature
Address
City
Zip Code
Office Phone
Home Phone
A membership in a professional organization of recognized educators serving the educational system with more than 20,000 faculty and 400,000 students which may choose from over 200 degree and certificate programs with the help of dedicated staff and faculty. Faculty networking and opportunities.
ACSUP
11278 Los Alamitos Blvd, Ste. 123
Los Alamitos, CA 90720