Application For Membership

Applicant Information

Title

First Name

Middle Initial

Last Name

Address 1

City

State

Postal Code

Country

Home Phone

Cell Phone

Date of Birth

Email Address

Type Of Membership Desired

Spouse's Name (If Applicable)

Spouse's Cell Phone Number

Spouse's Email Address

Applicant's Occupation

Name of Company

Title

Business Address

Business Telephone Number

Member Sponsor/ Years Known

UMass Campus (If Applicable)

Graduation Year

Primary Applicant's Signature

Date

Spousal Equivalent's Signature

Date-

* Bold Fields are Required

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The University of Massachusetts Club
One Beacon Street, 32nd Floor
Boston, MA 02108

Club Hours

Member Lounge/Front Desk
Monday – Friday 8:00am-9:00pm

Dining
Monday – Friday
Breakfast 8:00am-10:30am
Lunch 11:30am-2:30pm
Dinner 5:00pm-9:00pm
(last reservation 8:45pm)