Membership Pledge Card

Name	Business
Mailing Address
City	State	Zip
Phone (res.)	Phone (bus.)
E-mail Address
Amount of Contribution
Balance to be Paid: Annually ___ Semi-Annually ___ Quarterly ___
Please charge to my: Visa ___ MasterCard ___	Card #
Signature as on credit card:	Exp. Date
Make donation payable to: Edinboro University Foundation
___ General Athletic Fund ___ Sport Specific or Endowment (list):
If applicable, please list shirt sizes (S, M, L, XL, XXL): t-shirt ___ sweatshirt ___ polo ___
Please mail to: Bruce R. Baumgartner, Director of Athletics 219 Meadville Street Edinboro University of Pennsylvania Edinboro, PA 16444 For more information, please call Sue Goldthwaite at (814) 732-2776 ext. 224.
AMOUNT OF CONTRIBUTION Membership Levels Please check the appropriate level: ___ Varsity Club: $50-$99 ___ Scots' Club: $100-$249 ___ Captains' Club: $250-$499 ___ Coaches' Club: $500-$999 ___ Athletic Director's Club: $1,000-$2,499 ___ President's Club: $2,500-up ___ Check to waive all donor benefits in order to maximize your IRS deduction. ___ Please make my donation anonymous, not to be included in any listing.