kansas relays
KANSAS RELAYS APRIL 20-21, 2018 // ROCK CHALK PARK
Friends of the Kansas Relays Membership Information Form
Donations of at least $100 will automatically categorize you as a Williams Education Fund member. Non-deductible payment for goods and services received is subtracted from all gifts. If you do not wish to receive ANY benefits (including priority points), please check the box below.
Benefits
$150 DONATION
(Non-deductible benefit amount)
$300 DONATION
$600 DONATION
$1,500 DONATION
$2,000 DONATION
Kansas Relays T-Shirt ($10) Kansas Relays Hat ($15) 2 General Admission Tickets for Friday and Saturday ($60) 2 Reserved Seatback Tickets - Section B for Friday and Saturday ($88) Relays Watch ($150) Framed Collectors Pink & Blue Singlet ($300) (Available after April 28) VIP Parking (1 Vehicle) & 1 Alumni Member to Present Award ($400) If you are eligible for the following benefits, please check the boxes of what you’d like to receive with your donation.
¨ T-Shirt ($5) (Please circle shirt size) S M L XL XXL ¨ 2 Reserved Seatback Tickets ($80) ¨ VIP Parking & Award Presentation ($400)
¨ Kansas Relays Hat ($15) ¨ Relays Watch ($150)
¨ 2 General Admission Tickets ($60) ¨ Framed Collectors Pink & Blue Singlet ($300)
PAYMENT INFORMATION
2018 Kansas Relays Donation
¨ I am a current Williams Fund Member Donor #_______________ ¨ I am NOT a current Williams Fund Member ¨ I do not wish to receive ANY benefits (including priority points). I understand once priority points are relinquished, the points cannot be credited retroactively to my account.
NAME
CONTRIBUTION AMOUNT $________________________
MAILING ADDRESS
CITY
STATE ZIP
¨ Check Enclosed (Payable to Kansas Relays - Track & Field) ¨ Credit Card
HOME PHONE
BUSINESS PHONE
¨ Personal ¨ Business __________________
COMPANY NAME
___________________________________________________ FAX
MOBILE PHONE
NAME ON CARD (PLEASE PRINT)
___________________________________________________ CREDIT CARD #
EMAIL
PLEASE MAIL FORM AND PAYMENT TO: Williams Education Fund, 1651 Naismith Drive, Lawrence, KS 66045
_______________ _______________ EXP.
SECURITY CODE
___________________________________ _______________ SIGNATURE DATE
Friends of the Kansas Relays Membership Information Form
Donations of at least $100 will automatically categorize you as a Williams Education Fund member. Non-deductible payment for goods and services received is subtracted from all gifts. If you do not wish to receive ANY benefits (including priority points), please check the box below.
Benefits
$150 DONATION
(Non-deductible benefit amount)
$300 DONATION
$600 DONATION
$1,500 DONATION
$2,000 DONATION
Kansas Relays T-Shirt ($10) Kansas Relays Hat ($15) 2 General Admission Tickets for Friday and Saturday ($60) 2 Reserved Seatback Tickets - Section B for Friday and Saturday ($88) Relays Watch ($150) Framed Collectors Pink & Blue Singlet ($300) (Available after April 28) VIP Parking (1 Vehicle) & 1 Alumni Member to Present Award ($400) If you are eligible for the following benefits, please check the boxes of what you’d like to receive with your donation.
¨ T-Shirt ($5) (Please circle shirt size) S M L XL XXL ¨ 2 Reserved Seatback Tickets ($80) ¨ VIP Parking & Award Presentation ($400)
¨ Kansas Relays Hat ($15) ¨ Relays Watch ($150)
¨ 2 General Admission Tickets ($60) ¨ Framed Collectors Pink & Blue Singlet ($300)
PAYMENT INFORMATION
2018 Kansas Relays Donation
¨ I am a current Williams Fund Member Donor #_______________ ¨ I am NOT a current Williams Fund Member ¨ I do not wish to receive ANY benefits (including priority points). I understand once priority points are relinquished, the points cannot be credited retroactively to my account.
NAME
CONTRIBUTION AMOUNT $________________________
MAILING ADDRESS
CITY
STATE ZIP
¨ Check Enclosed (Payable to Kansas Relays - Track & Field) ¨ Credit Card
HOME PHONE
BUSINESS PHONE
¨ Personal ¨ Business __________________
COMPANY NAME
___________________________________________________ FAX
MOBILE PHONE
NAME ON CARD (PLEASE PRINT)
___________________________________________________ CREDIT CARD #
PLEASE MAIL FORM AND PAYMENT TO: Williams Education Fund, 1651 Naismith Drive, Lawrence, KS 66045
_______________ _______________ EXP.
SECURITY CODE
___________________________________ _______________ SIGNATURE DATE
