Payroll Deduction Form for University Club Membership

The contact person for Indiana University payroll is Debbie Doub: deducts@indiana.edu or 855-6854.

IN ORDER TO ACTIVATE YOUR MEMBERSHIP, PLEASE CONTACT THE UNIVERSITY CLUB AND TELL THEM YOU ARE USING PAYROLL DEDUCTION. uclub@indiana.edu or 855-1325.

    Enter your name*:
    Enter your address*:

    City

    State

    Zip Code
    Enter your email address*:
     

    A family membership is $80 or a single membership is $60. University Club dues will be deducted from your pay.

    Family membership payments will be 6 payments of $13.
    A Single membership payments will be 6 payments of $10.

    Membership begins in June of each year and ends in May of each year.
    Please indicate if you are requesting a family membership or a single membership:

    Please enter your IU phone number*:
    Please enter your Employee ID Number*: