APPLICATION FOR CORPORATEMEMBERSHIP*
*For corporationsdesiring to be members of Tennessee College and University
Professional Association for Human Resources (TN CUPA-HR)
Membership Period July 1, 2013 – June 30, 2014*
*Dues for the membership year are payable on August 1, but not later than January 31. Dues for joining during the second half of the membership year shall be one-half of the regular annual amount.
- A corporation desiring membership should complete this application and submit payment of dues to the Treasurer (address below). Make checks payable to TN CUPA-HR.This form serves as an invoice.
- Each Corporate membership is for one individual within the corporation. Other members of the organization may be added at the rate of $25 per person.
Dues/rates for membership:
$100 Corporate membership for one individual (please check)
Additional members at $25 each (list the names of Additional Members in Section 2)
TOTAL DUES TO BE SUBMITTED: $
SECTION 1.CORPORATE REPRESENTATIVE
1) Name Title
Corporation
Address
Telephone Fax
E-Mail Address
(List additional members on the next page in Section 2, as appropriate.)
Corporation:
SECTION 2.ADDITIONAL MEMBERS(from the same corporation, at $25 each)
2) Name Title
Address
Telephone Fax
E-Mail Address
3) Name Title
Address
Telephone Fax
E-Mail Address
4) Name Title
Address
Telephone Fax
E-Mail Address
Please send to:
TN CUPA-HR Treasurer, c/o Robynn Hopkins
University of Memphis Phone: (901) 678-2867
171 Admin Bldg Fax: (901) 678-1518
Memphis, TN 38152 E-mail:
5) Name Title
Address
Telephone Fax
E-Mail Address
6) Name Title
Address
Telephone Fax
E-Mail Address
7) Name Title
Address
Telephone Fax
E-Mail Address
8) Name Title
Address
Telephone Fax
E-Mail Address
(Please reproduce this page if additional pages are needed)
Please send to:
TN CUPA-HR Treasurer, c/o Robynn Hopkins
University of Memphis Phone: (901) 678-2867
171 Admin Bldg Fax: (901) 678-1518
Memphis, TN 38152 E-mail: