AIAA-USC Registration Form

You can use this form to join the American Institute of Aeronautics and Astronautics at the University of Southern California

LAST NAME FIRST NAME MIDDLE INITIAL

EMAIL

PERMANENT ADDRESS

CITY STATE ZIP CODE

SCHOOL ADDRESS

CITY STATE ZIP CODE

PERMANENT PHONE SCHOOL PHONE

UNIVERSITY ATTENDING

DEGREE FIELD OF STUDY

Freshman Sophomore Junior Senior Graduate Who Knows

GRADUATION DATE BIRTHDAY

CHECK THIS BOX IF YOU ARE A MEMBER OF AIAA ALREADY

Dues are fifteen dollars for National and fifteen dollars for the local chapter for a total of thirty dollars. Please Mail checks payable to AIAA-USC to Derek Troy, C/O American Institute of Aeronautics and Astronautics, 854 West 36th Place, Los Angeles, CA 90089

Page Maintained by: Derek Troy

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