Upgrade your membership

Please complete and submit the form. Leave blank any fields that do not apply to you. You will receive a confirmation email when we have processed your membership upgrade. If you have any questions, please call Ann Holt, Executive Director at 612-624-6626.

First Name *

Last Name *

Your Member Number: *

Your Email: *

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

Please change my membership level to: *

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

Friend of the Club | $260 /year - Receive a $50 annual credit plus a 10% discount on room rentals.

Payment Options: $260 yearly OR $21.67 monthly OR by payroll deduction (UMN EMPLOYEES ONLY).
Payroll Options: 12 month deduction for $10.00/check OR 10 month deduction for $12.38/check OR 9 month deduction for $13.68/check.

Advocate | $650 /year - Receive a $100 annual credit plus a 10% discount on room rentals.

Payment Options: $650 yearly OR $54.17 monthly OR by payroll deduction (UMN EMPLOYEES ONLY).
Payroll Options: 12 month deduction for $25.00/check OR 10 month deduction for $30.95/check OR 9 month deduction for $34.21/check.

Leader | $1300 /year - Receive a $200 annual credit plus a 10% discount on room rentals.

Payment Options: $1300 yearly OR $108.33 monthly OR by payroll deduction (UMN EMPLOYEES ONLY).
Payroll Options: 12 month deduction for $50.00/check OR 10 month deduction for $61.90/check OR 9 month deduction for $68.42/check.

Choose how you pay!
You may pay yearly or monthly via credit card or check.
Payroll deduction is a billing option for University employees only.
It is available in three options - 12 month, 10 month, and 9 month. By choosing this option you are agreeing to continue your membership until you advise the Club otherwise.

If you would like to change how you pay, complete the space below. If left blank, your dues will be paid as currently indicated.

Dues payments:

	1) By payroll deduction
	2) Yearly
	3) Monthly (option not available at Basic or Student level)

Payment method:

Credit card option. Call 612-626-1510 or charge at the Club.

University ID

University ID # - Required for payroll deduction:

Payroll Deduction:

	10 month appointment
	12 month appointment
	9 month appointment

I hereby apply for a change in my membership in The Campus Club. *

Today's date: *

Submit

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