Department Membership Application

Name of department or organization : *

Department Head

Name : *

Email : *

Telephone : *

Department Administrator

Name : *

Email : *

Telephone : *

Department Billing - Who will receive monthly statements

Name : *

Email : *

Telephone : *

Office address (USPS) : *

Office telephone :

Choose your level of support!
Your membership lets the Campus Club continue our mission to bring people together and supports our unique programs.

Department Membership Level: *

	1) Basic \| $104/year
	2) Friend of the Club \| $260/year
	3) Advocate \| $650/year
	4) Leader \| $1300/year

When your Department joins the membership, you will receive 50% off your room rental for your first event hosted at the Campus Club!

Once your account is active, Departments can pay the yearly dues with a University P-card or by initiating EFS payment to 9000-12065-21383 (reference your member number).

Department Card Use Policy:

Your account number will be shared with you via email and you will receive two membership cards with this number. These cards are for department use only. We suggest that the department administrator, or other responsible person be in charge of the cards and the card number, and keep track of who is using the Club and for what purpose.

LUNCH is served Monday through Friday starting at 11am. We are happy to make guest cards for your group and reserve a table for them. To make a reservation call 612-626-7788 or fill out this form. BAR use is determined by your department. To make a reservation in the bar, call 612-624-9136 or fill out this form.

MEETINGS and EVENTS can be arranged through the events office by emailing [email protected]. DEPARTMENTAL USE FORMS can help you to document department use of the Club. This form is available online or next to the cashier in the Servery.

PERSONAL USE of the department membership is not allowed. The membership is a University asset and therefore must be used for business purposes only. You may not give the department membership number to the cashier and pay with cash. You must charge to the account, or pay with a University P Card.

I hereby apply for membership in The Campus Club, for the UMN Department listed above. We agree to pay the dues and charges we incur. We understand that all charges for Club services are due within 30 days. I certify that I have read the Department Membership card use Polices and accept its terms. *

Today's date: *

Submit

	1) Basic \| $104/year
	2) Friend of the Club \| $260/year
	3) Advocate \| $650/year
	4) Leader \| $1300/year

Department Membership Application

Department Head

Department Administrator

Department Billing - Who will receive monthly statements

Member Login