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Membership

Please print this page. Complete the form and return it with $20 in dues, payable to:

USC Women’s Club
218 Edisto Ave.
Columbia, SC 29205

 

_______ NO CHANGES       _______ CHANGES AS INDICATED

 

Membership Category (check): 
[   ] Newcomer      [   ] Renewal    

 

Member's Name ___________________________________________________________________

University department with which you are affiliated (if any) ___________________________________

Spouse's Name (if any) ______________________________________________________________

University department with which your spouse is affiliated (if any) _______________________________

Mailing Address ____________________________________________________________________

E-mail address ____________________________________________________________________

Telephone ____________________________ (home) _______________________________ (other)
 

Note: Members responding by Oct. 15 will be included in the annual membership directory.

 

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