Address: ___________________________________________________________________________ City: _______________________________________________ State:________ Home Phone: ____________________________
Zip: ____________
Daytime Phone: ____________________________
E-Mail Address: ____________________________ Please transfer ________ football season tickets to____________________________. (# of tickets)
(new season ticket holder*)
*If transferring tickets to multiple people, please fill out a separate form for each recipient.
Please transfer the following seats (Limit of 8 non-premium season tickets): Section: ________
Row : ________
Seat(s): _______
Donation: _______
Section: ________
Row : ________
Seat(s): _______
Donation: _______
Section: ________
Row : ________
Seat(s): _______
Donation: _______ Total:
_______
*Your seating tier is provided on the PSD form that you received in the mail.
I agree to the season ticket transfer terms and conditions found at http://MGoBlue.com/go/transfer and I authorize the University of Michigan Athletic Ticket Office to transfer these tickets as indicated above. Authorized signature of current season ticket holder: X_____________________________________________ Date: _____________________________________________
Step 2: Provide information about the ticket recipient: Customer # (if applicable):___________ Name: _________________________________________________________________ (Please Print)
Address: ___________________________________________________________________________ City: _______________________________________________ State:________ Home Phone: ____________________________
Zip: ____________
Daytime Phone: ____________________________
E-Mail Address: ____________________________
Step 3: To be completed by the donor making the Ticket Transfer Donation: A gift receipt* will be issued in the name of the person making the one-time transfer donation. Priority points will be awarded to the new season ticket holder. NO EXCEPTIONS WILL BE MADE. Name: _________________________________
X__________________________________________
(Please Print)
(Signature required)
Address: ___________________________________________________________________________ City: _______________________________________________ State:________ Home Phone: ____________________________
Check No.________ (Made payable to University of Michigan)
*Under Internal Revenue Code Section 170(1), you may be eligible to deduct 80% of this donation as a charitable contribution. We are NOT able to accept contributions from donor advised funds, private foundations, or Charitable IRA Rollovers towards Transfer Donations. Please consult your tax advisor with specific questions.
Step 4: Return to Michigan Athletic Development: Send completed form and payment (faxes will not be accepted) to: Michigan Athletic Development, Attn: Melissa Montague, 1000 S State St, Ann Arbor, MI 48109-2201. In order to receive tax credit for 2017, credit cards must be charged by 12/25/17. If paying by check, envelopes must be postmarked by: December 31, 2017. Transfer forms postmarked after that date will not be accepted.
Office Use Only Gift Form Created and entered into Gift Log: ____ Initials _______ Date Copy made for Ticket Office and Annual Giving: ____ Initials _______ Date Confirmation email sent by Annual Giving: ____ Initials _______ Date Pledge and/or payment moved in PAC: ____ Initials _______ Date