Faculty & Staff Membership Application


Faculty Club membership entitles you to all member discounts and privileges, as detailed on the "Membership" page of our website. Please note the one-time registration fee and monthly dues detailed on the "Categories & Dues" page of our website.

Registration Fee (one time) $25.00





If Visiting Professor, please complete the questions below.

For Club Use


Board Approval: ________________________________ Date Approved: _______________________________
   
Date Entered:__________________________________ Account Number Assigned: _____________________
   
General Manager's' Signature: __________________________________________________