Texas Association of College Teachers 5750 Balcones Drive, Suite 201 Austin, Texas 78731 Phone: (512) 873-8195 - Fax: (512) 873-7423 - E-mail address: tact@bizaustin.rr.com

INVITATION TO MEMBERSHIP Please print this form and mail to address shown or jump to the ONLINE form. Check the appropriate membership category: Regular Membership (pro-rated to November 2009) (Professional staff, full-time faculty, librarians, administrators and other professionals) Includes Educators' Professional Liability Insurance  ___Annual - $199 Affiliate Membership (Administrative assistants, retired faculty, part-time faculty, graduate students, subscription members and libraries)  Includes Educators' Professional Liability Insurance ___Annual -  $150 The James M. Puckett, Ph.D. Government Relations Fund (Dedicated fund for TACT's enhanced public policy program for the 2009 Texas Legislative session) ___Annual-  $45 Business Membership ___Annual- $250 Prorated dues are also available.  Please call 512/873-8195 for details. Name:_____________________________________________________________________ University:_______________________________________________________________ Department:_______________________________________________________________ Office Telephone:__________________Home Telephone:_________________ E-mail address:____________________________________ Mailing Address:_________________________________________________________ City:____________________________State:_________Zip Code:________________ Referred by:________________________________________________________________ _____VISA / _____MasterCard Card No. #:______________________________Exp Date:____/____/____