First Name
Middle Initial
Last Name
Title
Department (if applicable)
Email
Address
Address (line two)
City
State
Zip
Telephone
Company Name
Mail Code (if applicable)
Regular Membership ($189/year or $7.27 per pay period payroll deduction
Emeriti, Retired or Surviving-Partner Membership ($120/year)
Community Membership ($300/year)
Affiliate Membership ($15.75/month)
Department/Organization Membership ($360/year)
Corporate Membership ($1200/year) Please see the Corporate Membership Page
Special Membership Offer ($94.50/first year)
Available to any University employee during Fall Semester 2009.
Payroll Deduction is the only option for this special offer. The first six months are free. By accepting this offer you are agreeing to pay the second six months. After that, deductions will continue until you cancel your membership.
Please mail to: The Campus Club 403 Coffman Memorial Union 300 Washington Ave SE Minneapolis, MN 55455
Visa or Mastercard (full annual payment) Submit this form first, then call 612-625-1442 with credit card details.
U of M payroll deduction ($7.27 per pay period for 12 month appointment) Employee ID (from pay stub--required for payroll deduction)
Agreement to Terms
By submitting this form, I hereby apply for membership in The Campus Club. I agree to pay the dues and any charges that I incur for Campus Club services. I understand that all charges for Club services are due within 30 days. I certify that I have read the Membership Agreement and accepts its terms.
