Club Dues

Senior Club Statement of Dues

Dues and form are due October 15th for current fiscal year (July 1 – June 30).

Complete Name of Club *

Date *

Fiscal Year (July) *

President

Name *

Email *

Phone *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Treasurer

Name *

Email *

Phone *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Collegiate Division Dues