Retired Faculty Association
University of Southern
California
Membership Application/Renewal
MEMBER'S NAME
(please print) ____________________________
NAME OF SPOUSE
________________________________________
DEPARTMENT ___________________________________________
HOME MAILING
ADDRESS _________________________________
_________________________________
ZIP CODE _________
- _______
PHONE (____) _____________
E-MAIL
____________________
Annual Dues (July I
- June 30) @ $20.00 $ _______
Additional
Voluntary Contributions to RFA $
_______
Russell Caldwell
Scholarship $ _______
Total $ _______
Make check payable to “USC RFA” and mail to:
RFA Treasurer