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Sport Club Registration Form

* Club Name:

Website Information

The following information will be used as the contact information on the IM Sports website

Contact Name:
E-mail:
Phone:
Web Address:

Officer Information

President

* Officer Name:
* Officer Email:
Permanent Address:
* Phone:

Vice-President

*Officer Name:
*Officer Email:
Permanent Address:
*Phone:

Secretary

*Officer Name:
*Officer Email:
Permanent Address:
*Phone:

Treasurer

*Officer Name:
*Officer Email:
Permanent Address:
*Phone:

Advisor Information

* Advisor Name:
* Phone:
* Email:

Financial Information

* Dues:
Bank Name:
Account Number:
MSU Account Number:
* Current Budget:
Estimated Budget for Next Year:

Meeting Information

* Day:
* Time:
* Where:

Description of Club:
	Do not enter anything in this box:
Verification Code: