IP OFF CLU B

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IP-OFF CLUB

TRUMAN STATE UNIVERSIT Y MENʼS BASKETBALL

2015-16 Levels of Membership

Name/Business Address City, State, ZIP Phone

 Home

 Cell

E-mail

I/We have decided to respond in the following manner: $  Check made payable to Truman State University Foundation.  Mastercard  VISA  Discover  American Express Card No.

Exp. Date

Name as it Appears on Card

Your employer may match your donation. Contact your personnel office for information on matching gifts. All contributions are tax deductible to the extent of the law, minus the fair market value of items received. Send to: Office of Athletics, Attn: Gifts, Pershing 212, 100 E. Normal Ave., Kirksville, MO 63501

Jump Ball ($1-99) Newsletter and email updates Assist ($100)* Jump Ball Level and Dri fit t-shirt Layup ($250)* Jump Ball Level and Polo 3-Point Shot ($500)* Jump Ball Level and ½ zip Nike All Conference ($1,000)* Jump Ball Level, Polo, and ½ zip Nike MVP ($2,500)* Jump Ball Level, Dri fit t-shirt, Polo, and ½ zip Nike

*SPECIFY SHIRT SIZE(S) Dri fit t-shirt:  Small  Medium  Large  XL  XXL Polo:  Small  Medium  Large  XL  XXL ½ zip Nike:  Small  Medium  Large  XL  XXL Basketball alumni who donate $100 or more will be included on the Bulldog Forever Board  I/We have decided to decline benefits.

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