:: Enroll in UT LAMP

We are pleased you have decided to join UT LAMP for the 2012-2013 year. The membership fee is $195 and covers the fall, winter and spring sessions.

There are two ways to pay for your membership:

Print, sign, and mail-in the Membership Form (click to print; may open in a new window/tab) and a check for your membership fee.

Print, sign, and mail-in the Membership Form (click to print; may open in a new window/tab) and complete the form below to pay with a credit card.

Member Information

Name
E-mail
Phone
UT EID	(optional)
Date of Birth (mm/dd/yyyy)	/ / Date of birth is required to create a UT EID and will be kept secure and not be shared.

Credit Card Information

Card Number
Exp Date (mm/yyyy)	/
Type	MasterCard Visa American Express Discover
Billing Name
Billing Address

City/State/Zip

Spouse/Partner Information

If you would like to also enroll your spouse, please provide the following information. Note that the cost for enrollment is $195 per person.