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UNIVERSITY CLUB OF GRAND RAPIDS
Membership Application
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*
" indicates required fields
Membership Requirements
Prospective members require sponsorship by two current members. All membership include a quarterly $225 food and beverage minimum to be spent at the University Club of Grand Rapids.
Date of Application
MM slash DD slash YYYY
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*
Home Phone:
*
Home Address
*
Street Address
City:
State:
Zip Code:
Country:
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American Samoa
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Samoa
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Thailand
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Tokelau
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Tunisia
Turkmenistan
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Tuvalu
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Venezuela
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Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Cell Phone:
Business Name
*
Position:
*
Business Address:
*
Street Address
City:
State:
Zip Code:
Country:
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Business Phone:
*
Business Email:
Please Enter Your Birth Date Below
Month
*
mm
January
February
March
April
May
June
July
August
September
October
November
December
Day
*
dd
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
*
yyyy
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
Place of Birth
Member of Other Clubs (optional)
Married/Single?
Married
Single
Spouse's Name
Spouse's Email:
Spouse's Cell Phone:
Children (Names & Ages- Optional)
Send Statement to:
*
Business Address
Resident Address
Business Email
Personal Email
Sponsor
Sponsor
Applicants Signature
*
Social Membership (Dining Only)
INCLUDES: Dining on 10th floor & Athletic Dining Room + ALL social events at the Club + PRIVATE room rental ability + RECIPROCAL club usage. *All Social memberships include a quarterly food & beverage minimums to be spent at the University Club.
Executive (Ages 41+): $90 monthly + Food & Bev. Min: $225 qtly.
Associate (Ages 31-40): $75 monthly + Food & Bev. Min: $225 qtly.
Junior (must be 30 & under): $50 monthly + Food & Bev. Min: $100 qtly.
Athletic Club Plus Membership (includes Social + AC)
INCLUDES: 24/7 ACCESS to athletic facility and group fitness classes + DINING on 10th Floor & Athletic Dining Room + ALL social events at the Club + PRIVATE room rental ability + RECIPROCAL club usage. *All memberships include a quarterly food and beverage minimums to be spent at the University Club.
Executive Plus (Ages 41+): $150 monthly dues + Food & Bev. Min: $225 qtly.
Associates Plus (Ages 31-40): $125 monthly dues + Food & Bev. Min: $225 qtly.
Junior Plus (must be under 30): $100 monthly dues + Food & Bev. Min: $100 qtly.
Non-Resident
*Must reside and work outside of a 25-mile radius of the Club.
Social Non-Resident (Dining Only) $70 quarterly dues + Food & Bev. Min: $100 qtly.
Full Non-Resident (Dining & Athletic) $180 quarterly dues + Food & Bev. Min: $100 qtly.
Athletic Club Only Membership
INCLUDES: Access to the Athletic Club and its facilities 24/7
All (23+ years): $75
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