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STUDENT MEMBERSHIP FORM

OCTOBER 2011
Name:____________________________________________
________________
Address:__________________________________________
_______________
___________________________________________________
_________________
E-mail:
___________________________________________________
________
Phone:
___________________________________________________
________
Major/Concentration:______________________________
_____________
Minor:_______-

___________________________________________________
__
Grad Date:
__________________________________________________
_____
*** Please submit this form with a check made
out to CAL POLY PRSSA or cash for $75***
*** Application and Payment are due no later than
Tuesday, November 1st in the envelope labeled
PRSSA Membership Dues located in the
Journalism Office.

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