Recent Graduate Lifetime Membership

Graduate Information First Name Middle Initial Last Name Name on Card Mailing Address City: State: Zip: Phone (xxx) - xxx-xxxx: Email: Month of Graduation: Year of Graduation:

Billing Information

Click here if billing information is the same as above.

First Name: Last Name: Billing Address City: State: Zip Phone (xxx) - xxx-xxxx: Email: Where should the membership card be sent?

Notes/Promo Code:

Additional Questions How did you hear about this membership offer?

Mail Code:
I don't know my code

Which event? (optional)

Which site? (optional)

Can you be more specific? (required)

Total Charge $

If you have questions regarding the above application, please contact our offices at (608) 262-2263.

Recent Graduate Lifetime Membership

Union Building Addresses

Union South

Memorial Union