CULC Membership Sign Up Form
Please fill in this form to confirm your details with CULC, you will then be sent an email requesting the £3 payment to become a life member. If you have any questions please email
Email address *
First Name *
Your answer
Last Name *
Your answer
CRSid or Student ID number *
Your answer
College or University *
Are you an undergraduate or postgraduate student? *
Expected Year of Graduation? *
Your answer
Were you referred to CULC by a college rep? If yes please write their name, otherwise leave blank.
Your answer
Never submit passwords through Google Forms.