* Club Name:
Short Form:
* Mailing Address:
* City:
* Province:
* Postal Code:
* Telephone:
Fax:
* Organization Email:
Organization Website:
* Description:
* Club active on which campus:
* Type of Group: check all that applies
* Number of U.T.S.U. members:A U.T.S.U. member is defined as any full-time undergraduate student at St. George or Mississauga campus.
* Total number of members:
* Student Life Recognized?
Each Campus Organization must have at least two associated signing officers. Please enter one signing officer as your Main Contact below, and another as your Secondary contact.
* Contact Name:
* Position/Title:
* Contact Phone #:
* Contact Email:
* Relationship To University:
Campus Clubs are required to report the name of the bank, trust company or credit union, the branch, account numbers and signing officers for all bank account opened in the Clubs name. This information is treated confidentially.
Name/Branch of Financial Institution:
Account No.:
Organization Name on Account:
Note: If an account has not yet been established, please supply this information when it becomes available.