Staff Payroll Deduction Form
18PayD-Ath
TM
BTAICLLS ASTOHFLTE
Faculty/Staff Payroll Deduction Form 2017-2018 Roadrunner Club
Your support of MSU Denver Athletics has created a legacy of championships and an environment in which our student-athletes excel in the classroom, in competition and in the community. This season promises to be filled with excitement as we look forward to building off the successes of the past several years and aim to bring home more national championships. Your contributions ensure our continued success — thank you for your support! #GetRowdy
4. GIFT DESIGNATION
1. DONOR INFORMATION
GENERAL ATHLETICS FUND ATH01
900#
BASEBALL ATH10
NAME
MEN’S BASKETBALL ATH11 STREET
WOMEN’S BASKETBALL ATH12
CITY, ST
ZIP
WOMEN’S GOLF ATH26 MEN’S SOCCER ATH14
EMAIL
WOMEN’S SOCCER ATH15 PHONE
SOFTBALL ATH25
FACULTY
MEN’S & WOMEN’S TENNIS ATH19
STAFF
MEN’S & WOMEN’S TRACK & CROSS COUNTRY ATH23
2. SELECT PAYROLL DEDUCTION TYPE BEGIN PAYROLL DEDUCTION CHANGE MY CURRENT PAYROLL DEDUCTION
VOLLEYBALL ATH21
5. AUTHORIZATION BY SIGNING BELOW, I AUTHORIZE MSU DENVER TO MAKE THE DEDUCTIONS LISTED ON THIS FORM
3. MEMEBERSHIP OPTIONS PRESIDENT’S CLUB
$250/month
DIRECTOR’S CLUB
$100/month
COACH’S CLUB
$50/month
CHAMPION’S CLUB
$25/month
MVP CLUB
$15/month
VARSITY CLUB
$10/month
FRIENDS OF ROADRUNNERS
$5/month
SIGNATURE
DATE
6. ADDITIONAL INFORMATION - Payment for this membership will be distributed into equal installments to allow the entire balance to be paid no later than July 2nd - For tax purposes, you will receive a summary of your contributions at the end of the calendar year - Gift receipts will be sent to your home address - Payroll deductions will be automatically renewed each fiscal year unless otherwise indicated - Please make a copy of this form for your records - Please contact Jamie Hurst with any questions at [email protected] or 303-556-8452
PLEASE COMPLETE THIS FORM AND RETURN TO: METROPOLITAN STATE UNIVERSITY OF DENVER ADVANCEMENT SERVICES | GIFT PROCESSING CAMPUS BOX 14, PO BOX 173362 DENVER, CO 80217-3362 * You can also join the Roadrunner Club online by visiting: roadrunnersathletics.com/roadrunnerclub
TM
BTAI CL LS ASTOHFLTE
TM
BTAICLLS ASTOHFLTE
Faculty/Staff Payroll Deduction Form 2017-2018 Roadrunner Club
Your support of MSU Denver Athletics has created a legacy of championships and an environment in which our student-athletes excel in the classroom, in competition and in the community. This season promises to be filled with excitement as we look forward to building off the successes of the past several years and aim to bring home more national championships. Your contributions ensure our continued success — thank you for your support! #GetRowdy
4. GIFT DESIGNATION
1. DONOR INFORMATION
GENERAL ATHLETICS FUND ATH01
900#
BASEBALL ATH10
NAME
MEN’S BASKETBALL ATH11 STREET
WOMEN’S BASKETBALL ATH12
CITY, ST
ZIP
WOMEN’S GOLF ATH26 MEN’S SOCCER ATH14
WOMEN’S SOCCER ATH15 PHONE
SOFTBALL ATH25
FACULTY
MEN’S & WOMEN’S TENNIS ATH19
STAFF
MEN’S & WOMEN’S TRACK & CROSS COUNTRY ATH23
2. SELECT PAYROLL DEDUCTION TYPE BEGIN PAYROLL DEDUCTION CHANGE MY CURRENT PAYROLL DEDUCTION
VOLLEYBALL ATH21
5. AUTHORIZATION BY SIGNING BELOW, I AUTHORIZE MSU DENVER TO MAKE THE DEDUCTIONS LISTED ON THIS FORM
3. MEMEBERSHIP OPTIONS PRESIDENT’S CLUB
$250/month
DIRECTOR’S CLUB
$100/month
COACH’S CLUB
$50/month
CHAMPION’S CLUB
$25/month
MVP CLUB
$15/month
VARSITY CLUB
$10/month
FRIENDS OF ROADRUNNERS
$5/month
SIGNATURE
DATE
6. ADDITIONAL INFORMATION - Payment for this membership will be distributed into equal installments to allow the entire balance to be paid no later than July 2nd - For tax purposes, you will receive a summary of your contributions at the end of the calendar year - Gift receipts will be sent to your home address - Payroll deductions will be automatically renewed each fiscal year unless otherwise indicated - Please make a copy of this form for your records - Please contact Jamie Hurst with any questions at [email protected] or 303-556-8452
PLEASE COMPLETE THIS FORM AND RETURN TO: METROPOLITAN STATE UNIVERSITY OF DENVER ADVANCEMENT SERVICES | GIFT PROCESSING CAMPUS BOX 14, PO BOX 173362 DENVER, CO 80217-3362 * You can also join the Roadrunner Club online by visiting: roadrunnersathletics.com/roadrunnerclub
TM
BTAI CL LS ASTOHFLTE
