Membership Inquiry - University Club of MSU

Title:*

First Name:*

Last Name:*

Address:

City:

State:

U.S. ZIP code:*

Preferred contact method:*

Phone
Email

E-mail:*

U.S. phone number:

()-

Have you ever been a member of the U-Club before?:*

Yes
No

If you've never been a member, how did you hear about us?:

The primary member/head of my household is :*

JUNIOR - Age 21 - 34
REGULAR - Age 35 - 64
SENIOR - Age 65+
NON-RESIDENT - Living and working more than 35 miles from the U-Club
SPECIAL EVENT - Interested in holding an event for 150 or more guests

Please list your affiliation type:*

UNIVERSITY EMPLOYEE (MSU, Cooley, LCC or Davenport)
MSU ALUMNI
GENERAL COMMUNITY

Please let us know if you're interested in these membership options:

FITNESS
GOLF

U-Club Member Sponsor (optional):

Comments or Questions:

Security code:

Enter security code: