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

The primary member/head of household is :*

JUNIOR - Age 21 - 34
REGULAR - Age 35 - 64
SENIOR - Age 65+
NON-RESIDENT - Lives and works more than 35 miles from the U-Club
OUT-OF-STATE - Lives and works outside the state of Michigan
SPECIAL EVENT - For those interested in holding an event for 150 or more

Please list your affiliation type:*

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

Are you interested in either of these membership options:

FITNESS
GOLF

U-Club Member Sponsor (optional):

Comments or Questions:

Security code:

Enter security code: