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USFSP Retired Faculty & Staff Association (RFSA)

RFSA Membership Application

You may choose to use the form below or the paper form. The paper form is available as a MS Word .doc or as an Adobe .pdf: Application (Word .doc) Application (Adobe .pdf).
If you do not have Microsoft Word, you can obtain the Adobe Reader here to use the .pdf application version.

At the March 2005 meeting of the RFSA Board of Directors bylaws were adopted. In order to support our desire to reach out to our retirees, the bylaws include a RFSA membership fee of $10 annually (payable to USF Foundation, Inc.) to assist with expenses such as postage, printing, and copying. Your Board is hopeful that all USF St. Petersburg retirees will affirm their interest by joining through this nominal fee. Even if you choose not to join, we hope you’ll take the time to return the card and let us know what you’ve been doing. And while numerous individuals have assisted in developing the list of retirees, please let us know if you are aware of anyone who may have been overlooked.

First Name:

Last Name:

Phone Number:

Email: (Get weekly E-News from USF St. Petersburg)

Position held at USF St. Petersburg:

Street Address:

City:

State:

Zip:

Question or Comment:
Please share any comments or ideas you have for the Retired Faculty and Staff Association.

Be sure to send your $10.00 check payable to: USF Foundation, Inc. in seperate U.S. mail to:

USF St. Petersburg
Retired Faculty and Staff Association
140 7th Avenue South, WMS 200
St. Petersburg, FL 33701

I would like to join the Retired Faculty and Staff Association.