Student Retail Association Official Membership Application 24/25
You must COMPLETE THIS FORM and PAY YOUR DUES to be considered an official active member of the Student Retail Association. 

To maintain active membership status, you should attend a sufficient number of association events to earn a total of at least 6 points & 2 points MUST be from speaker events during the semester. By being an active member of SRA, you open yourself up to various benefits, including access to industry trips and other valuable opportunities.

DUES ARE $30/SEMESTER or $45/YEAR 
You can pay your dues via Venmo to @SRA-DUES or pay cash (in exact change, please)! Please indicate your name + “dues for the semester” or “dues for the year” if you are paying via Venmo. Questions? Please email our Treasurer: Kiran Shenoi, shenoi@wisc.edu
Email *
Last Name *
First Name *
Student Email *
Year/Graduation Date *
Major/Certificates *
Phone Number *
I'd like to get more involved in: 
Clear selection
You must COMPLETE THIS FORM and PAY YOUR DUES to be considered an official active member of the Student Retail Association. 
DUES ARE $30/SEMESTER or $45/YEAR 
You can pay your dues via Venmo to @SRA-DUES or pay cash (in exact change, please)! Please indicate your name + “dues for the semester” or “dues for the year” if you are paying via Venmo. Questions? Please email our Treasurer: Kiran Shenoi: shenoi@wisc.edu
Any additional ideas, concerns, or suggestions? Please share!
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of UW-Madison Google Workspace.

Does this form look suspicious? Report