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Affiliates
Affiliates Membership Form
USC Center for Software Engineering

 Printable Version

Organization Name:

Primary Contact Person:

Title and Address:

Phone-Number:

Fax Number:

E-mail Address:

Large Organization (over $100M/year): $35,000/year

Large Organization (first introductory year): $25,000/year

Small Organization $5,000/year

Enclosed is a check made out to the USC Center for Software Engineering. I understand that this tax deductible contribution. Entitles my organization to the list of Affiliate benefits enumerated on the opposite side of the form, for a period of one year.


Signature



Title and Date

Please send form and check to:
USC Center for Software Engineering
941 West 37th Place, SAL 328
USC Los Angeles CA 90089-0781