Please print and mail with your
check for $20 to:
Southern California LSU Alumni Association
525 E. Magnolia Blvd., Apt. V
Burbank, CA 91501
If you'd rather pay by credit card,
click here.
Name___________________________________________________________________
Address________________________________________________________________
City, State, Zip_______________________________________________________
Home Phone__________________________Work Phone_________________________
Email Address__________________________________________________________
Company Name or Occupation_____________________________________________
Year Graduated and Degree______________________________________________
Chapter Dues $20_____________________Date Paid___________________
$10 of the dues goes to scholarships!
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