MEMBERSHIP FORM
MEMBERSHIP FORM ❏ Alumni ❏ Friend ❏ Parent ❏ Business/Sponsorship ❏ SRU employee Name____________________________________________________________________________ Address_________________________________________________________________________ City/State/Zip___________________________________________________________________ Phone___________________________________________________________________________ Email address___________________________________________________________________ ❏ My check is enclosed. Payable to: Slippery Rock University Foundation Inc. 104 Maltby Ave. Suite 100 Slippery Rock, PA 16057 ❏ Please charge my: ❏ Visa
❏ MasterCard
❏ Discover
❏ AMEX
Name on card: _________________________________________________________________ Card #__________________________________________________________________________ Exp. date________________________________Security Code _________ Signature________________________________________________ ❏ I am an SRU employee interested in payroll deduction. Please contact me at extension:__________________ ❏ Match my gift: my form is enclosed. Questions about matching gifts?
❏ I would like to make a gift of stock. Please contact me at: _______________________________________________________ ❏ I wish to remain anonymous. To join the Rock Athletic Club online, visit:
www.rockathletics.com
www.sru.edu A member of the Pennsylvania State System of Higher Education #10024 2/16
104 Maltby Ave. Suite 100 Slippery Rock, PA 16057
Contact 888.778.6389 to see if you are eligible to participate.
MEMBERSHIP LEVELS AND BENEFITS
I would like to support SRU student athletes by joining the Rock Athletic Club
The Rock Athletic Club exists to support and promote Slippery Rock University athletics through the involvement of alumni, former student-athletes and friends of the University. All donations made through Rock Athletic Club annual memberships are used to increase scholarships available to SRU student-athletes in each of the varsity sports. While every gift counts, by electing to make a gift at the $100, $250, $500, or $1,000+ level you are also entitled to the membership benefits listed below. MEMBERSHIP LEVELS Membership card, game program, website recognition, and 10 percent discount at the SGA Bookstore
Football Season Tickets
Basketball Season Tickets
White Division
$100+
Green Division
$250+
Captain’s Division
$500+
Rock Division
$1,000+
1 season TICKET and parking pass
2 season TICKETS and parking pass
2 Gail Rose Lodge Season passes and parking pass
6 Gail Rose Lodge Season passes and parking pass
($50 Value)
($80 Value)
($200 Value)
($560 Value)
1 season TICKET
2 season TICKETS
2 season TICKETS
6 season TICKETS
($40 Value)
($80 Value)
($80 Value)
($240 Value)
According to IRS regulations, the total tax-deductible portion of your Rock Athletic Club contribution is your total contribution minus the value of any elected benefits. The Slippery Rock University Foundation, Inc. will provide a receipt indicating the value of elected benefits, and total tax-deductible portion. Questions? Please contact the Slippery Rock University Foundation, Inc. toll free at 888.778.6389.
Follow all the action at www.rockathletics.com!
Please select your Rock Athletic Club membership level and benefits
Rock Division. Please indicate number of tickets requested. _________ Gail Rose Lodge (up to 6) _________ Basketball (up to 6)
$1,000+
Captain’s Division. Please indicate number of tickets requested. $500+ _________ Gail Rose Lodge (up to 2) _________ Basketball (up to 2) Green Division. Please indicate number of tickets requested. _________ Football (up to 2) _________ Basketball (up to 2)
$250+
White Division. Please indicate number of tickets requested. _________ Football (1) _________ Basketball (1)
$100+
I choose to decline all benefits associated with my membership.
Please direct my gift to the scholarship funds available for the following sport(s).
SRU Varsity Sports SRU General Athletic Scholarship Baseball Men’s Basketball Women’s Basketball Cross Country (M and W) Field Hockey Football Lacrosse Men’s Soccer Women’s Soccer Softball Tennis Track and Field (M and W) Volleyball
Allocation $________________ $________________ $________________ $________________ $________________ $________________ $________________ $________________ $________________ $________________ $________________ $________________ $________________ $________________
TOTAL CONTRIBUTION
$_________
In-kind gifts, securities and planned gifts are additional ways to support SRU varsity athletics. For more information about these gift opportunities contact the Slippery Rock University Foundation Inc. toll free at 888.778.6389.
❏ MasterCard
❏ Discover
❏ AMEX
Name on card: _________________________________________________________________ Card #__________________________________________________________________________ Exp. date________________________________Security Code _________ Signature________________________________________________ ❏ I am an SRU employee interested in payroll deduction. Please contact me at extension:__________________ ❏ Match my gift: my form is enclosed. Questions about matching gifts?
❏ I would like to make a gift of stock. Please contact me at: _______________________________________________________ ❏ I wish to remain anonymous. To join the Rock Athletic Club online, visit:
www.rockathletics.com
www.sru.edu A member of the Pennsylvania State System of Higher Education #10024 2/16
104 Maltby Ave. Suite 100 Slippery Rock, PA 16057
Contact 888.778.6389 to see if you are eligible to participate.
MEMBERSHIP LEVELS AND BENEFITS
I would like to support SRU student athletes by joining the Rock Athletic Club
The Rock Athletic Club exists to support and promote Slippery Rock University athletics through the involvement of alumni, former student-athletes and friends of the University. All donations made through Rock Athletic Club annual memberships are used to increase scholarships available to SRU student-athletes in each of the varsity sports. While every gift counts, by electing to make a gift at the $100, $250, $500, or $1,000+ level you are also entitled to the membership benefits listed below. MEMBERSHIP LEVELS Membership card, game program, website recognition, and 10 percent discount at the SGA Bookstore
Football Season Tickets
Basketball Season Tickets
White Division
$100+
Green Division
$250+
Captain’s Division
$500+
Rock Division
$1,000+
1 season TICKET and parking pass
2 season TICKETS and parking pass
2 Gail Rose Lodge Season passes and parking pass
6 Gail Rose Lodge Season passes and parking pass
($50 Value)
($80 Value)
($200 Value)
($560 Value)
1 season TICKET
2 season TICKETS
2 season TICKETS
6 season TICKETS
($40 Value)
($80 Value)
($80 Value)
($240 Value)
According to IRS regulations, the total tax-deductible portion of your Rock Athletic Club contribution is your total contribution minus the value of any elected benefits. The Slippery Rock University Foundation, Inc. will provide a receipt indicating the value of elected benefits, and total tax-deductible portion. Questions? Please contact the Slippery Rock University Foundation, Inc. toll free at 888.778.6389.
Follow all the action at www.rockathletics.com!
Please select your Rock Athletic Club membership level and benefits
Rock Division. Please indicate number of tickets requested. _________ Gail Rose Lodge (up to 6) _________ Basketball (up to 6)
$1,000+
Captain’s Division. Please indicate number of tickets requested. $500+ _________ Gail Rose Lodge (up to 2) _________ Basketball (up to 2) Green Division. Please indicate number of tickets requested. _________ Football (up to 2) _________ Basketball (up to 2)
$250+
White Division. Please indicate number of tickets requested. _________ Football (1) _________ Basketball (1)
$100+
I choose to decline all benefits associated with my membership.
Please direct my gift to the scholarship funds available for the following sport(s).
SRU Varsity Sports SRU General Athletic Scholarship Baseball Men’s Basketball Women’s Basketball Cross Country (M and W) Field Hockey Football Lacrosse Men’s Soccer Women’s Soccer Softball Tennis Track and Field (M and W) Volleyball
Allocation $________________ $________________ $________________ $________________ $________________ $________________ $________________ $________________ $________________ $________________ $________________ $________________ $________________ $________________
TOTAL CONTRIBUTION
$_________
In-kind gifts, securities and planned gifts are additional ways to support SRU varsity athletics. For more information about these gift opportunities contact the Slippery Rock University Foundation Inc. toll free at 888.778.6389.
