Application

Application for membership in the university Club of Albany

Name *

First

Last

Preferred Email *

Alternate Email *

Phone Number *

Residents of the following counties are eligible for resident membership: Albany, Schoharie, Rensselaer, Saratoga, Schenectady, Columbia.
Monthly dues and fees and a one-time entrance fee are shown in parentheses.

I would like to apply for *

Resident Membership ($219/$100) Non-Resident Membership ($190/$50) Junior ($175/$50) Clergy ($159/$50) Corporate - four members ($596/$500) {$149 pp} Joint - spouse of member ($19) Neighbor ($110/$30 monthly minimum)

Home Address *

Line 1

Line 2

City

State

Zip Code

Country

Business Address *

Line 1

Line 2

City

State

Zip Code

Country

Business TItle *

Date of Birth *

College *

Graduation Date *

Sponsors *

Please enter the names of two University Club members to sponsor your application. If you need assistance with sponsorship, enter "Need Assistance."

Please send University Club correspondence to my *

Business Address Home Address

Complete the boxes below ONLY if you are applying for Corporate Membership with 4 members who will receive a single bill at the Business Address.

2nd Corp. Member - Name, College, Graduation Date *

3rd Corp. Member - Name, College, Graduation Date *

4th Corp. Member - Name, College, Graduation Date *

Complete the section below ONLY if your spouse is applying for Joint Membership.

Name *

First

Last

Business Address *

Line 1

Line 2

City

State

Zip Code

Country

Business Title *

Email *

Date of Birth *

College *

Graduation Date *

Submit