UPTE Membership Application

DUES RATES

For professional employees: Dues are 1.15% of gross salary to a maximum of $20 (if you make $1740/mo. or more, your dues are $20).

For researchers, health care professinals, and technical employees: Dues are 1.15% of gross salary to a maximum of $25 (if you make $30,000 or less a year) or a maximum of $35 (if you make more than $30,000 a year)

Administrative Professionals: - or "99s" Dues are 1.15% of gross salary to a maximum of $20. (if you make $1740 or more per months your dues are $20).

Be sure to sign the bottom line of the application.

I hereby apply for membership in UPTE and designate UPTE as my duly chosen and authorized representative on all matters relating to my employment and in order to promote and protect my economic welfare.

NAME ___________________________________________________________________

EMPLOYEE NUMBER _____________________________________________________

HOME ADDRESS _________________________________________________________

CITY/STATE/ZIP __________________________________________________________

HOME PHONE ____________________________________________________________

WORK ADDRESS _________________________________________________________

WORK PHONE ____________________________________________________________

EMAIL ADDRESS _________________________________________________________

NOTE: Dues, contributions, or gifts to UPTE are not deductible as charitable contributions for federal income tax purposes. Dues paid to UPTE, however, may qualify as business expenses and may be deductible in limited circumstances subject to various restrictions imposed by the IRS.