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First Name
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Middle Name
Last Name
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Mailing Country
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United States of America
Mailing Address
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Mailing State
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Mailing Zip Code
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Personal E-mail
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Employee ID
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College
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Department
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Campus office location (building, room, number)
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UFF-FSU membership
Dues Amount
$0.00
Total
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United Faculty of Florida Payroll Deduction Authorization
I hereby authorize my employer to begin biweekly payroll deduction of the United Faculty of Florida dues (1% of salary). This deduction authorization shall continue until revoked by me at any time upon 30 days written notice to UF's payroll office and to the United Faculty of Florida.
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Date
Date
E.g., 2023-06-10
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