Cosmopolitan Club Membership Form
By becoming a member of the Cosmopolitan Club at the University of Illinois, you will be supporting the Club's activities that bring together individuals from many countries. Membership entitles you to discounted rates on dinners and many events, early registration for dinners, and copies of the Club's twice-yearly newsletter and calendar.
Membership costs $20 for non-students and $10 for students and runs from September 1 of one year through August 31 of the following year. After registering, you will be sent a Cosmopolitan Club Member card.
To register as a member:
- print out and fill in this page (or pdf file) OR fill in the form below
- mail the form to the address below
- include a check (made payable to the Cosmopolitan Club) with the form
OR
pay online at the Cosmo Donations page
Club Executive DirectorIf you have any questions about the Cosmopolitan Club or about the membership form, e-mail cosmo307@gmail.com or call the Club Executive Director at 367-3079 during the following office hours:
Cosmopolitan Club
307 E. John St.
Champaign, IL 61820
Tuesday: 8:30 am - 12:00 noon
Thursday: 1:30 pm - 7:00 pm
Friday: 1:30 pm - 7:00 pm
Name _________________________________________________
Address ________________________________________________
City ___________________________________________________
State _____________________ ZIP _______________________
Phone _________________________________________________
E-mail _________________________________________________
Home Country __________________________________________
If University-affiliated, please provide your campus address:
Department _____________________________________________
Office Building ___________________________________________
Phone ______________________ Mail code MC- _______________
_____ Student member (full year) ($10)
_____ University faculty or staff member (full year) ($20)
_____ Community member (full year) ($20)
_____ Check is enclosed OR _____ I have made an online payment.
Please bring or mail your application and check to:
Club Executive Director
Cosmopolitan Club
307 East John Street
Champaign, IL 61820