The Shark Club Membership/Credit Card

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The annual membership cost of $300 will be paid via credit card. Annual membership cost will not automatically renew year to year. Member will be notified two weeks prior to cancellation for renewal opportunity.

Note: All fields marked with a * below are required. All other fields are optional.

User Information

First Name:

Last Name:

Title:

NSU ID:

School/Center:

Email Address:

Phone:

Referred By:

By submitting this form, you agree to having the cost of the membership deducted via credit card.
Note: For membership and enrollment questions, please contact thesharkclub@nova.edu.

Annual Membership Fee: $ 300

Thank you for your submission, be on the look out for your welcome email from thesharkclub@nova.edu

User Information

Name:

NSU #ID:

Email:

Phone:

Department:

Title: