Family Club Order Form

Club Registration Form

Order Type: (per family)

* Subscription:

$50.00 : One Year

$150.00 : Entire MSU Career

Personal Information:

* First Name:

* Last Name:

Spouse Information:

First Name:

Last Name:

Student's Information:

* First Name:

* Last Name:

* Classification:

2nd Student's Information:

First Name:

Last Name:

Classification:

3rd Student's Information:

First Name:

Last Name:

Classification:

Contact Information:

* E-Mail:

* Phone Number:

* Street Address 1:

Street Address 2:

* City:

* State:

* Zip Code: