2012-13 RENEWAL FORM
2012-13 RENEWAL FORM Contact information: Name(s): Preferred Mailing Address: City/State/Zip: Home Phone:
Office Phone:
Cell Phone:
Email Address:
Please charge my credit card:
_________ Visa
_________ Mastercard
Acct. No.
_________ American Express
Exp. Date:
Levels of Membership: ____PREMIUM ($5,000): entitled to two gifts
______ GOLD ($2,500): entitled to two gifts
Choose two:
Choose two:
Sweatshirt - Size: ____ Sweatshirt - Size: ____ Tee Shirt - Size: ____ Tee Shirt - Size: ____
Sweatshirt - Size: ____ Sweatshirt - Size: ____ Tee Shirt - Size: ____ Tee Shirt - Size: ____
Info for W illie’s Kids’ Club Members must be in the 8 grade or younger
Info for W illie’s Kids’ Club Members must be in the 8 grade or younger
Child’s name: ______________________________________
Child’s name: ______________________________________
Birthday: _____/_____/_____/ Grade: ______________
Birthday: _____/_____/_____/ Grade: ______________
If there is more than one child in your household, please include a note with their information as well.
If there is more than one child in your household, please include a note with their information as well.
th
th
_____SILVER ($1,000): entitled to two gifts
______ PURPLE ($500): entitled to two gifts
Choose two:
Choose two:
Sweatshirt - Size: ____ Sweatshirt - Size: ____ Tee Shirt - Size: ____ Tee Shirt - Size: ____
Sweatshirt - Size: ____ Sweatshirt - Size: ____ Tee Shirt - Size: ____ Tee Shirt - Size: ____
Info for W illie’s Kids’ Club Members must be in the 8 grade or younger
Info for W illie’s Kids’ Club Members must be in the 8 grade or younger
Child’s name: ______________________________________
Child’s name: ______________________________________
Birthday: _____/_____/_____/ Grade: _____________
Birthday: _____/_____/_____/ Grade: ______________
th
If there is more than one child in your household, please include a note with their information as well.
th
If there is more than one child in your household, please include a note with their information as well.
______ WHITE ($250): entitled to one gift
______5-YRS OUT ALUMNUS ($150):
Choose one:
(2008-12 graduates)
Sweatshirt - Size: ____ Tee Shirt - Size: ____
Membership Levels Premium Level - $5,000 •
Chance for you and two guests to attend a Wildcat Coffee Talk during the season with Coach Carmody
•
Invitation to exclusive Pre-Game Party
•
Admission to a private practice (Date to be mutually agreed upon)
•
2 Premier Gift Options
•
Family entry to Pre-Game Reception Parties
•
Memberships to the Willie’s Kids’ Club for all children in household
Silver Level - $1,000 •
Invitation to exclusive Pre-Game Party with Coach Carmody
•
2 Premier Gift Options
•
Family entry to Pre-Game Reception Parties
•
Memberships to the Willie’s Kids’ Club for all children in household
White Level - $250 •
1 Premier Gift Option
•
Individual Admittance to Pre-Game Reception Parties
Gold Level - $2,500 •
Admission to a private practice (Date to be mutually agreed upon)
•
Invitation to exclusive Pre-Game Party
•
2 Premier Gift Options
•
Family admittance to Pre-Game Reception Parties
•
Memberships to the Willie’s Kids’ Club for all children in household
Purple Level - $500 •
2 Premier Gift Options
•
Family admittance to Pre-Game Reception Parties
•
Memberships to the Willie’s Kids’ Club for all children in household
Recent Alum Level - $150 (2008 – 2012 Graduates) •
Individual Admittance to Pre-Game Reception Parties
Willie’s Kids’ Club Willie's Kids' Club Membership includes the following: • Exclusive Willie's Kids' Club Drawstring Bag • Club Membership Card • Monthly E-Newsletter • Birthday Email from Willie • Invitation to Kids' Club Members Only Events • Discounted Tickets to a Nonconference Football and Men's Basketball Game • Discounted Tickets for Family Members • FREE Admission to All Olympic Sports • FREE treat at Andy's Frozen Custard • And More!
Gift Options (1) Antiqua Full Zip Hooded Sweatshirt
NOTE: Under current tax laws, donors who choose to receive benefits must subtract the fair market value of these benefits from the value of their gift for purposes of calculating the tax deduction for their charitable gift.
(2) Under Armour Tee Shirt**style subject to change
Office Phone:
Cell Phone:
Email Address:
Please charge my credit card:
_________ Visa
_________ Mastercard
Acct. No.
_________ American Express
Exp. Date:
Levels of Membership: ____PREMIUM ($5,000): entitled to two gifts
______ GOLD ($2,500): entitled to two gifts
Choose two:
Choose two:
Sweatshirt - Size: ____ Sweatshirt - Size: ____ Tee Shirt - Size: ____ Tee Shirt - Size: ____
Sweatshirt - Size: ____ Sweatshirt - Size: ____ Tee Shirt - Size: ____ Tee Shirt - Size: ____
Info for W illie’s Kids’ Club Members must be in the 8 grade or younger
Info for W illie’s Kids’ Club Members must be in the 8 grade or younger
Child’s name: ______________________________________
Child’s name: ______________________________________
Birthday: _____/_____/_____/ Grade: ______________
Birthday: _____/_____/_____/ Grade: ______________
If there is more than one child in your household, please include a note with their information as well.
If there is more than one child in your household, please include a note with their information as well.
th
th
_____SILVER ($1,000): entitled to two gifts
______ PURPLE ($500): entitled to two gifts
Choose two:
Choose two:
Sweatshirt - Size: ____ Sweatshirt - Size: ____ Tee Shirt - Size: ____ Tee Shirt - Size: ____
Sweatshirt - Size: ____ Sweatshirt - Size: ____ Tee Shirt - Size: ____ Tee Shirt - Size: ____
Info for W illie’s Kids’ Club Members must be in the 8 grade or younger
Info for W illie’s Kids’ Club Members must be in the 8 grade or younger
Child’s name: ______________________________________
Child’s name: ______________________________________
Birthday: _____/_____/_____/ Grade: _____________
Birthday: _____/_____/_____/ Grade: ______________
th
If there is more than one child in your household, please include a note with their information as well.
th
If there is more than one child in your household, please include a note with their information as well.
______ WHITE ($250): entitled to one gift
______5-YRS OUT ALUMNUS ($150):
Choose one:
(2008-12 graduates)
Sweatshirt - Size: ____ Tee Shirt - Size: ____
Membership Levels Premium Level - $5,000 •
Chance for you and two guests to attend a Wildcat Coffee Talk during the season with Coach Carmody
•
Invitation to exclusive Pre-Game Party
•
Admission to a private practice (Date to be mutually agreed upon)
•
2 Premier Gift Options
•
Family entry to Pre-Game Reception Parties
•
Memberships to the Willie’s Kids’ Club for all children in household
Silver Level - $1,000 •
Invitation to exclusive Pre-Game Party with Coach Carmody
•
2 Premier Gift Options
•
Family entry to Pre-Game Reception Parties
•
Memberships to the Willie’s Kids’ Club for all children in household
White Level - $250 •
1 Premier Gift Option
•
Individual Admittance to Pre-Game Reception Parties
Gold Level - $2,500 •
Admission to a private practice (Date to be mutually agreed upon)
•
Invitation to exclusive Pre-Game Party
•
2 Premier Gift Options
•
Family admittance to Pre-Game Reception Parties
•
Memberships to the Willie’s Kids’ Club for all children in household
Purple Level - $500 •
2 Premier Gift Options
•
Family admittance to Pre-Game Reception Parties
•
Memberships to the Willie’s Kids’ Club for all children in household
Recent Alum Level - $150 (2008 – 2012 Graduates) •
Individual Admittance to Pre-Game Reception Parties
Willie’s Kids’ Club Willie's Kids' Club Membership includes the following: • Exclusive Willie's Kids' Club Drawstring Bag • Club Membership Card • Monthly E-Newsletter • Birthday Email from Willie • Invitation to Kids' Club Members Only Events • Discounted Tickets to a Nonconference Football and Men's Basketball Game • Discounted Tickets for Family Members • FREE Admission to All Olympic Sports • FREE treat at Andy's Frozen Custard • And More!
Gift Options (1) Antiqua Full Zip Hooded Sweatshirt
NOTE: Under current tax laws, donors who choose to receive benefits must subtract the fair market value of these benefits from the value of their gift for purposes of calculating the tax deduction for their charitable gift.
(2) Under Armour Tee Shirt**style subject to change
