<p> Draft</p><p>Talk to Your Employer about Payroll Deduction A New Way to Pay Your Membership Dues</p><p>NAADAC encourages its members to look at payroll deduction as an affordable option for paying your NAADAC membership dues. Speak with your employer about automatic payroll deductions that can make things easier for you.</p><p>The benefits of payroll deduction: . Easier to pay small amounts rather than a larger one-time payment. . Saves time and takes little effort. . It ensures that you have money set aside for your membership and you don’t have to worry about your membership lapsing.</p><p>The payroll deduction plan works like this: 1. Take this form to your employer and work out a payment plan based on your annual membership dues. 2. Make your monthly payments for 12 months. 3. When your NAADAC membership renewal form arrives, take it to your employer and have them send a check to NAADAC. 4. Enjoy the benefits of NAADAC membership for another year!</p><p>Visit the membership section of the NAADAC website at www.naadac.org or call 1-800- 548-0497 for the breakdown of your state’s membership fees.</p><p>For more information on paying your membership fees by payroll deduction, contact Donovan Kuehn at [email protected] or 1-800-548-0497 ext 125.</p><p>NAADAC, The Association for Addiction Professionals 901 N. Washington St. Suite 600 Alexandria, VA 22314 p 800.548.0497 f 800.377.1136 www.naadac.org Draft</p><p>Payroll Deduction Authorization Form</p><p>I authorize the deduction from my paycheck of $______for membership in NAADAC, The Association for Addiction Professionals.</p><p>I authorize the deduction from my paycheck of a donation of $______to the NAADAC Education and Research Foundation (NERF). This is a  one time  recurring donation.</p><p>I authorize the deduction from my paycheck of a donation of $______to the NAADAC Political Action Committee (PAC). This is a  one time  recurring donation.</p><p>I authorize this deduction to begin on ______, 200____.</p><p>______Print Name</p><p>______Signature</p><p>______Date</p><p>NAADAC, The Association for Addiction Professionals 901 N. Washington St. Suite 600 Alexandria, VA 22314 p 800.548.0497 f 800.377.1136 www.naadac.org Draft</p><p>Check your state affiliate membership fee or invoice for your cost per month:</p><p>Alabama $110 Membership Fee: $9.17 for 12 monthly payments $4.59 for 24 bi monthly payments $4.23 for 26 bi-weekly payments</p><p>Alaska $120 Membership Fee: $10.00 for 12 monthly payments $5.00 for 24 bi monthly payments $4.62 for 26 bi-weekly payments</p><p>Arizona $120 Membership Fee: $10.00 for 12 monthly payments $5.00 for 24 bi monthly payments $4.62 for 26 bi-weekly payments</p><p>Arkansas $85 Membership Fee: $7.04 for 12 monthly payments $3.55 for 24 bi monthly payments $3.26 for 26 bi-weekly payments</p><p>California $210 Membership Fee: $17.50 for 12 monthly payments $8.75 for 24 bi monthly payments $8.08 for 26 bi-weekly payments</p><p>Colorado $135 Membership Fee: $11.25 for 12 monthly payments $5.63 for 24 bi monthly payments $5.20 for 26 bi-weekly payments</p><p>Connecticut $135 Membership Fee: $11.25 for 12 monthly payments $5.63 for 24 bi monthly payments $5.20 for 26 bi-weekly payments</p><p>Delaware $80 Membership Fee: $6.67 12 monthly payments $3.34 24 bi monthly payments $3.08 for 26 bi-weekly payments</p><p>District of Columbia $135 Membership Fee: $11.25 for 12 monthly payments $5.63 for 24 bi monthly payments $5.20 for 26 bi-weekly payments</p><p>Florida $135 Membership Fee: $11.25 for 12 monthly payments $5.63 for 24 bi monthly payments $5.20 for 26 bi-weekly payments</p><p>Georgia $145 Membership Fee: $12.09 for 12 monthly payments $6.05 for 24 bi monthly payments $5.58 for 26 bi-weekly payments</p><p>NAADAC, The Association for Addiction Professionals 901 N. Washington St. Suite 600 Alexandria, VA 22314 p 800.548.0497 f 800.377.1136 www.naadac.org Draft</p><p>Hawaii $105 Membership Fee: $8.75 for 12 monthly payments $4.38 for 24 bi monthly payments $4.04 for 26 bi-weekly payments</p><p>Idaho $110 Membership Fee: $9.17 for 12 monthly payments $4.59 for 24 bi monthly payments $4.23 for 26 bi-weekly payments</p><p>Illinois $115 Membership Fee: $9.59 for 12 monthly payments $4.80 for 24 bi monthly payments $4.43 for 26 bi-weekly payments</p><p>Indiana $135 Membership Fee: $11.25 for 12 monthly payments $5.63 for 24 bi monthly payments $5.20 for 26 bi-weekly payments</p><p>Iowa $115 Membership Fee: $9.59 for 12 monthly payments $4.80 for 24 bi monthly payments $4.43 for 26 bi-weekly payments</p><p>Kansas $110 Membership Fee: $9.17 for 12 monthly payments $4.59 for 24 bi monthly payments $4.23 for 26 bi-weekly payments</p><p>Kentucky $110 Membership Fee: $9.17 for 12 monthly payments $4.59 for 24 bi monthly payments $4.23 for 26 bi-weekly payments</p><p>Louisiana $85 Membership Fee: $7.04 for 12 monthly payments $3.55 for 24 bi monthly payments $3.26 for 26 bi-weekly payments</p><p>Maine $115 Membership Fee: $9.59 for 12 monthly payments $4.80 for 24 bi monthly payments $4.43 for 26 bi-weekly payments</p><p>Maryland $125 Membership Fee: $10.42 for 12 monthly payments $5.21 for 24 bi monthly payments $4.81 for 26 bi-weekly payments</p><p>Massachusetts $130 Membership Fee: $10.84 for 12 monthly payments $5.42 for 24 bi monthly payments $5.00 for 26 bi-weekly payments</p><p>NAADAC, The Association for Addiction Professionals 901 N. Washington St. Suite 600 Alexandria, VA 22314 p 800.548.0497 f 800.377.1136 www.naadac.org Draft</p><p>Michigan $140 Membership Fee: $11.67 for 12 monthly payments $5.84 for 24 bi monthly payments $5.39 for 26 bi-weekly payments</p><p>Minnesota $85 Membership Fee: $7.04 for 12 monthly payments $3.55 for 24 bi monthly payments $3.26 for 26 bi-weekly payments</p><p>Mississippi $130 Membership Fee: $10.84 for 12 monthly payments $5.42 for 24 bi monthly payments $5.00 for 26 bi-weekly payments</p><p>Missouri $98 Membership Fee: $8.16 for 12 monthly payments $4.09 for 24 bi monthly payments $3.77 for 26 bi-weekly payments</p><p>Montana $115 Membership Fee: $9.59 for 12 monthly payments $4.80 for 24 bi monthly payments $4.43 for 26 bi-weekly payments</p><p>Nebraska $117 Membership Fee: $9.75 for 12 monthly payments $4.88 for 24 bi monthly payments $4.50 for 26 bi-weekly payments</p><p>Nevada (Las Vegas Chapter) $110 Membership Fee: $9.17 for 12 monthly payments $4.59 for 24 bi monthly payments $4.23 for 26 bi-weekly payments</p><p>Nevada (Northern Chapter) $120 Membership Fee: $10.00 for 12 monthly payments $5.00 for 24 bi monthly payments $4.62 for 26 bi-weekly payments</p><p>New Hampshire $115 Membership Fee: $9.59 for 12 monthly payments $4.80 for 24 bi monthly payments $4.43 for 26 bi-weekly payments</p><p>New Jersey $135 Membership Fee: $11.25 for 12 monthly payments $5.63 for 24 bi monthly payments $5.20 for 26 bi-weekly payments</p><p>New Mexico $115 Membership Fee: $9.59 for 12 monthly payments $4.80 for 24 bi monthly payments </p><p>NAADAC, The Association for Addiction Professionals 901 N. Washington St. Suite 600 Alexandria, VA 22314 p 800.548.0497 f 800.377.1136 www.naadac.org Draft</p><p>$4.43 for 26 bi-weekly payments</p><p>New York $145 Membership Fee: $12.09 for 12 monthly payments $6.05 for 24 bi monthly payments $5.58 for 26 bi-weekly payments</p><p>North Carolina $120 Membership Fee: $10.00 for 12 monthly payments $5.00 for 24 bi monthly payments $4.62 for 26 bi-weekly payments</p><p>North Dakota $115 Membership Fee: $9.59 for 12 monthly payments $4.80 for 24 bi monthly payments $4.43 for 26 bi-weekly payments</p><p>Ohio $120 Membership Fee: $10.00 for 12 monthly payments $5.00 for 24 bi monthly payments $4.62 for 26 bi-weekly payments</p><p>Oklahoma $85 Membership Fee: $7.04 for 12 monthly payments $3.55 for 24 bi monthly payments $3.26 for 26 bi-weekly payments</p><p>Oregon $120 Membership Fee: $10.00 for 12 monthly payments $5.00 for 24 bi monthly payments $4.62 for 26 bi-weekly payments</p><p>Pennsylvania $110 Membership Fee: $9.17 for 12 monthly payments $4.59 for 24 bi monthly payments $4.23 for 26 bi-weekly payments</p><p>Rhode Island $125 Membership Fee: $10.42 for 12 monthly payments $5.21 for 24 bi monthly payments $4.81 for 26 bi-weekly payments</p><p>South Carolina $120 Membership Fee: $10.00 for 12 monthly payments $5.00 for 24 bi monthly payments $4.62 for 26 bi-weekly payments</p><p>South Dakota $110 Membership Fee: $9.17 for 12 monthly payments</p><p>NAADAC, The Association for Addiction Professionals 901 N. Washington St. Suite 600 Alexandria, VA 22314 p 800.548.0497 f 800.377.1136 www.naadac.org Draft</p><p>$4.59 for 24 bi monthly payments $4.23 for 26 bi-weekly payments</p><p>Tennessee $105 Membership Fee: $8.75 for 12 monthly payments $4.38 for 24 bi monthly payments $4.04 for 26 bi-weekly payments</p><p>Texas $145 Membership Fee: $12.09 for 12 monthly payments $6.05 for 24 bi monthly payments $5.58 for 26 bi-weekly payments</p><p>Utah $130 Membership Fee: $10.84 for 12 monthly payments $5.42 for 24 bi monthly payments $5.00 for 26 bi-weekly payments</p><p>Vermont $135 Membership Fee: $11.25 for 12 monthly payments $5.63 for 24 bi monthly payments $5.20 for 26 bi-weekly payments</p><p>Virginia $135 Membership Fee: $11.25 for 12 monthly payments $5.63 for 24 bi monthly payments $5.20 for 26 bi-weekly payments</p><p>Washington $125 Membership Fee: $10.42 for 12 monthly payments $5.21 for 24 bi monthly payments $4.81 for 26 bi-weekly payments</p><p>West Virginia $120 Membership Fee: $10.00 for 12 monthly payments $5.00 for 24 bi monthly payments $4.62 for 26 bi-weekly payments</p><p>Wisconsin $125 Membership Fee: $10.42 for 12 monthly payments $5.21 for 24 bi monthly payments $4.81 for 26 bi-weekly payments</p><p>Wyoming $85 Membership Fee: $7.04 for 12 monthly payments $3.55 for 24 bi monthly payments $3.26 for 26 bi-weekly payments.</p><p>Question – California and Kansas? Are they eligible?</p><p>NAADAC, The Association for Addiction Professionals 901 N. Washington St. Suite 600 Alexandria, VA 22314 p 800.548.0497 f 800.377.1136 www.naadac.org</p>