☐          $ ______________ flat fee.        

☐          I am interested in making bank account deductions of $____________ per month.

             (This option requires a bank account deduction form)

Please apply my gift to the following:

☐          General Booster                                ☐          Equestrian

☐          Football                                               ☐          Golf

☐          Rodeo                                                 ☐          Men’s Basketball

☐          Women’s Basketball                          ☐          Volleyball

____________________________        

Name (Please Print)                                     

______________________________            ______________________________

Address                                                                   City, State, Zip

______________________________            ______________________________

Phone                                                                      Email