Please fill out form completely.

Name (First, Last)

Address

City, State

Zip

What kind of an address is it? (Check One)

Home

Off-campus apartment

UIC residence hall

E-mail

Mobile Phone Number^

Univ. ID # (it's on your I-card!)

Yes, I would like to use this form as my membership into the FURY, the official student booster club of UIC Athletics. It is FREE and I will receive a FREE FURY T-shirt when I attend my first Flames event!

*you must be a registered student entering your freshman year at the University of Illinois at Chicago to enroll in and win the sweepstakes.

^by providing your mobile number you agree to receive text messages from the Flames. (not more than once per month, standard text messaging rates apply. Contact your provider for more information)

Thanks to Boost Mobile for sponsoring the Textbook Sweepstakes.

Thanks to Domino's-the official sponsor of the FURY.