INSTRUCTIONS FOR FILLING OUT THE FORMS:
Please fill in the personal information on the MTA “Membership
Application” form and the separate “Authorization for Payroll
Deduction” form enclosed. [Ethnicity, marital status, subject,
and hiring date optional]
Member Year is: 2006
Association Name is: “Professional Staff Union”,
or (“Unit B” for Classified Supervisors only)
Chapter is: Amherst
“Payment information” can be left blank
Sign and date the 2 forms where required.
Place the 2 forms in the pre-addressed envelope and return
them to the PSU via campus mail as soon as possible. See
address below.
Thank you on behalf of the PSU Chapter Board.
Professional Staff Union
109 Hampshire House
University of Massachusetts
Amherst, MA 01003
(413) 545-4509