Please print and mail this University Club membership application to:
University Club of Indiana University
Indiana Memorial Union
900 E. Seventh St.
Bloomington, IN 47405
(please circle one)
Mr. Mrs. Ms.___________________________________________________
(joint membership, same household)
Street_________________________________________________________
City_______________________State____ Zip_______________________
Home Telephone (_____)___________ ___________________________
E-Mail________________________________________________________
* Member room rental rates apply only to local members who participate in club activities.
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IU faculty and staff please provide the following information: Title_____________________________________ |
I have enclosed a check for $_________________for membership dues
($55 for an individual membership, $75 for a joint membership)
I am submitting the online form requesting payroll deduction authorization for my membership dues.
I would like more information. Please put me in touch with a Uclub Member.
Please make checks payable to:
University Club of Indiana University