Booster CLub
Direct Debit Authorization
(please print):
Available for memberships of $500 or more. I authorize the MSUM Alumni Foundation to automatically debit my checking/savings account as designated below. This authorization will remain in effect until I give written notification to cancel it.
Financial Institution: _________________ Checking Account # _________________ Bank Routing # ____________________
GoDragonFire.com Call 218.477.5824 for questions or more information. Minnesota State University Moorhead Dragon Fire • MSUM Athletics 1104 7th Ave S Moorhead, MN 56563
Booster CLub MEMBERSHIP
OR Savings Account # __________________ Bank Routing # ____________________ I agree to pay my Dragon Fire membership in:
Membership Features:
____ 10 monthly installments which will be transferred the 1st of each month from the account noted above.
▸ Season Tickets to Dragon Home Events (value of over $300) ▸ Invitation to Special Dragon Events
____ 1 payment
▸ 20% Discount at MSUM Bookstore Name: (please print)
▸ Courtside Seats
____________________________________
▸ 5% Discount to the Dragon Athletics Online Store: shopmsumdragons.com
Signature: ________________________
godragonfire.com
Date:_____________________________
GODRAGONFIRE.COM
Required:
Please include a voided check to insure correct information for set up.
Minnesota State University Moorhead is an equal opportunity educator and employer and is a member of the Minnesota State system. This information will be made available in alternate format, or if a disabilityrelated accommodation is required, please contact the Disability Resource Center at 218.477.4318 (voice) or 1.800.627.3529 (MRS/TYY).
2017-2018
Why should you become a member of Dragon Fire?
What are the benefits of joining Dragon Fire? The benefits of becoming a Dragon Fire member include season tickets, invitations to special Dragon Athletic events, and discounts at the MSU Moorhead Bookstore. Check out the grid below to find a membership level right for you.
Dragon Fire members make a difference in the lives of our student-athletes by giving monetary donations and volunteering their time and talents. In addition, your annual membership investment assists Dragon Athletics to become more competitive at the collegiate level.
Purchase Your 2017-18 Season Tickets! You will receive season tickets to the 2017-18 Dragon home athletic events and be a Dragon Fire Booster Club member. Membership perks are noted below.
Courtside Seats: Courtside seats for volleyball and basketball seasons are available for an additional $125 per chair. Please note that current courtside seat holders are given priority of renewal. Please note on your application if you wish to renew your courtside seat or be placed on a priority list for a courtside seat.
Membership Rates 2017-18
Membership perks include: ▸ Open Swim at the Nemzek Pool (see pool schedule) ▸ 20% discount at MSUM Bookstore ▸ Newsletter for members only ▸ DF Membership Website – godragonfire.com ▸ Level for new MSUM Alumni ▸ Special Discounts at MSUM Performances
________________________________________ Mailing Address______________________________ City___________________ State _____Zip________ Phone (
Spark Level 2
Flame Level 3
Torch Level 4
Blaze Level 5
$70
$175
$350
$700
$1,750
$2,100
x4
x6
x2
x4
) _____________________________
Email_____________________________________
I want to support the Dragons at this level: $2,100
$1,750
$700
$350
$175
$70
Renew my courtside seat ____ x $125 Place me on the priority list for a courtside seat(s) for basketball and volleyball games. In addition to my membership, please accept my donation to the Red & White Scholarship Campaign to benefit __________________________ (sport name here).
By joining Dragon Fire, the NCAA identifies you as a booster & a representative of MSU Moorhead Athletics. Boosters are required to abide by NCAA rules indefinitely.
Booster Basic
(please print):
Name to be listed in the program and newsletter:
and Planetarium ▸ 5% Discount to the Dragon Athletics Online Store shopmsumdragons.com
#New Alumni
2017-18 Season Ticket
2017-2018 Membership Application
I request that my entire donation be applied to the Dragon Fire Fund and do not wish to receive any benefits as part of my membership.
Send me the Dragon Fire newsletter via E-mail (send to the address noted above) OR 1st class mail (send to the address noted above)
PAYMENT OPTIONS: Check Enclosed - Payable to Dragon Fire
Invitation to all Dragon Fire events
Automatic Withdrawal (Available for memberships of $500 or
more. 10 equal monthly payments - Complete Debt Authorization Form located on the back.)
Dragon Fire Newsletter
MSUM Faculty & Staff Only–Payroll Deduction
Name Recognition in Newsletter Dragon Fire Membership Decal
x2
x2
x4
x6
Open Swim at the Nemzek Pool
x2
x2
x4
x6
MSUM Bookstore 20% discount*
x2
x2
x4
x6
One free popcorn at home games*
x2
x4
x4
x6
Credit Card Visa
Mastercard
____ 1 pay period
Discover
AmEx
__ __ __ __ /__ __ __ __ /__ __ __ __ /__ __ __ __ exp._____/_____
sec. code ______________
Signature______________________________
Return to:
Minnesota State University Moorhead – Dragon Fire Athletics Department • 1104 7th Ave S • Moorhead, MN 56563 Call 218.477.5824 for more information.
Company Logo in Dragon Fire Newsletter** * Must present membership card. ** E-mail co. logo to [email protected]
____ over 10 pay periods
Denotes number of items #MSUM graduate within two years (15-16 or 16-17)
GoDragonFire.com
(please print):
Available for memberships of $500 or more. I authorize the MSUM Alumni Foundation to automatically debit my checking/savings account as designated below. This authorization will remain in effect until I give written notification to cancel it.
Financial Institution: _________________ Checking Account # _________________ Bank Routing # ____________________
GoDragonFire.com Call 218.477.5824 for questions or more information. Minnesota State University Moorhead Dragon Fire • MSUM Athletics 1104 7th Ave S Moorhead, MN 56563
Booster CLub MEMBERSHIP
OR Savings Account # __________________ Bank Routing # ____________________ I agree to pay my Dragon Fire membership in:
Membership Features:
____ 10 monthly installments which will be transferred the 1st of each month from the account noted above.
▸ Season Tickets to Dragon Home Events (value of over $300) ▸ Invitation to Special Dragon Events
____ 1 payment
▸ 20% Discount at MSUM Bookstore Name: (please print)
▸ Courtside Seats
____________________________________
▸ 5% Discount to the Dragon Athletics Online Store: shopmsumdragons.com
Signature: ________________________
godragonfire.com
Date:_____________________________
GODRAGONFIRE.COM
Required:
Please include a voided check to insure correct information for set up.
Minnesota State University Moorhead is an equal opportunity educator and employer and is a member of the Minnesota State system. This information will be made available in alternate format, or if a disabilityrelated accommodation is required, please contact the Disability Resource Center at 218.477.4318 (voice) or 1.800.627.3529 (MRS/TYY).
2017-2018
Why should you become a member of Dragon Fire?
What are the benefits of joining Dragon Fire? The benefits of becoming a Dragon Fire member include season tickets, invitations to special Dragon Athletic events, and discounts at the MSU Moorhead Bookstore. Check out the grid below to find a membership level right for you.
Dragon Fire members make a difference in the lives of our student-athletes by giving monetary donations and volunteering their time and talents. In addition, your annual membership investment assists Dragon Athletics to become more competitive at the collegiate level.
Purchase Your 2017-18 Season Tickets! You will receive season tickets to the 2017-18 Dragon home athletic events and be a Dragon Fire Booster Club member. Membership perks are noted below.
Courtside Seats: Courtside seats for volleyball and basketball seasons are available for an additional $125 per chair. Please note that current courtside seat holders are given priority of renewal. Please note on your application if you wish to renew your courtside seat or be placed on a priority list for a courtside seat.
Membership Rates 2017-18
Membership perks include: ▸ Open Swim at the Nemzek Pool (see pool schedule) ▸ 20% discount at MSUM Bookstore ▸ Newsletter for members only ▸ DF Membership Website – godragonfire.com ▸ Level for new MSUM Alumni ▸ Special Discounts at MSUM Performances
________________________________________ Mailing Address______________________________ City___________________ State _____Zip________ Phone (
Spark Level 2
Flame Level 3
Torch Level 4
Blaze Level 5
$70
$175
$350
$700
$1,750
$2,100
x4
x6
x2
x4
) _____________________________
Email_____________________________________
I want to support the Dragons at this level: $2,100
$1,750
$700
$350
$175
$70
Renew my courtside seat ____ x $125 Place me on the priority list for a courtside seat(s) for basketball and volleyball games. In addition to my membership, please accept my donation to the Red & White Scholarship Campaign to benefit __________________________ (sport name here).
By joining Dragon Fire, the NCAA identifies you as a booster & a representative of MSU Moorhead Athletics. Boosters are required to abide by NCAA rules indefinitely.
Booster Basic
(please print):
Name to be listed in the program and newsletter:
and Planetarium ▸ 5% Discount to the Dragon Athletics Online Store shopmsumdragons.com
#New Alumni
2017-18 Season Ticket
2017-2018 Membership Application
I request that my entire donation be applied to the Dragon Fire Fund and do not wish to receive any benefits as part of my membership.
Send me the Dragon Fire newsletter via E-mail (send to the address noted above) OR 1st class mail (send to the address noted above)
PAYMENT OPTIONS: Check Enclosed - Payable to Dragon Fire
Invitation to all Dragon Fire events
Automatic Withdrawal (Available for memberships of $500 or
more. 10 equal monthly payments - Complete Debt Authorization Form located on the back.)
Dragon Fire Newsletter
MSUM Faculty & Staff Only–Payroll Deduction
Name Recognition in Newsletter Dragon Fire Membership Decal
x2
x2
x4
x6
Open Swim at the Nemzek Pool
x2
x2
x4
x6
MSUM Bookstore 20% discount*
x2
x2
x4
x6
One free popcorn at home games*
x2
x4
x4
x6
Credit Card Visa
Mastercard
____ 1 pay period
Discover
AmEx
__ __ __ __ /__ __ __ __ /__ __ __ __ /__ __ __ __ exp._____/_____
sec. code ______________
Signature______________________________
Return to:
Minnesota State University Moorhead – Dragon Fire Athletics Department • 1104 7th Ave S • Moorhead, MN 56563 Call 218.477.5824 for more information.
Company Logo in Dragon Fire Newsletter** * Must present membership card. ** E-mail co. logo to [email protected]
____ over 10 pay periods
Denotes number of items #MSUM graduate within two years (15-16 or 16-17)
GoDragonFire.com
