University of Michigan Varsity Tennis Center
2002-03 Membership Application
Print and complete this form and mail to:
Varsity Tennis Center, 1000 S. State St., Ann Arbor, MI 48104
Name:
Address:
City, State, Zip:
Telephone:
Email:
Sponsored Adult Name:
Sponsored Child Name:
Sponsor's Name:
Affiliation
Student
M-Club/Donor
Faculty/Staff
M-Letter
Alumnus
Track/Tennis
Retired Fac/Staff
Student Spouse
Membership Type
Full
Fall/Winter
Monthly -- Activation Date:
-- Expiration Date:
Total Cost $
Visa
MasterCard
Check payable to:
Varsity Tennis Center
1000 S. State St.
Ann Arbor, MI 48104
Number
Exp. Date
Signature