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Apply Online
Name
Title:
First Name:
Middle Initial:
Last Name:
Residence Information
Street Address:
City
State
Zip
Home Phone Number:
Cell Phone:
Date of Birth:
Email Address:
Employer Information
Department / or Company Name:
Position / Title:
Affiliation
Affiliation with The Ohio State University:
Faculty
Staff
Administrator
Graduate Student
Alumni
Parent of OSU Student
Presidents Club Member
Retired Faculty Staff or Administrator
Other
Member Referral: (Not required for membership)
Promotional Code:
Household Members Authorized to Use the Account
Household signers include spouse and dependents under the age of 25. Additional signers must be approved through club management.
Name:
Relation:
Date of Birth:
Name:
Relation:
Date of Birth:
Name:
Relation:
Date of Birth:
Spouse Email:
If admitted to membership in The Ohio State University Faculty Club, I agree to pay the non-refundable initiation fee and membership dues as assessed. I understand that payment in full for all statements is due upon receipt to remain a member in good standing. I understand that payment on this account does not constitute a deductible contribution for Federal Income Tax purpose. Furthermore, I understand that both dues and initiation fees are subject to periodic review and alteration by the Faculty Club Board of Control.
Membership billing is based on category type and automatically renews on a monthly or annual basis. Annual memberships renew on July 1st. Annual accounts cancelled after July 1st are subject to a cancellation fee. Membership remains active until cancelled with written notification and payment in full to the club. Non use or non payment is not a form of cancellation.
I agree to the terms and conditions above:
Yes
No
Once your application has been received, you will be contacted by a Faculty Club team member within 1-2 business days. (excluding holidays) At this time your application will be reviewed and initiation payment and credit card information will be collected. In the meantime, if you have any questions, please contact us directly at 614-292-2262
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