Membership Form
Please Print & Fill Out
2009-2010 Bulldog Club
Membership Form
(Circle One) Renewal New
NAME ____________________________________
BUSINESS ________________________________
STREET __________________________________
CITY/STATE/ZIP ___________________________
PHONE ___________________________________
EMAIL ____________________________________
SPOUSE’S NAME __________________________
MEMBERSHIP LEVEL _______________________
DIRECT MY DONATION TO: (check one)
_________________________ SCHOLARSHIP FUND
(SPORT) or
GENERAL BULLDOG CLUB SCHOLARSHIP FUND
(Note: you may choose to give online at https://secure.wingate.edu/alumni/donations/)
TOTAL AMOUNT ENCLOSED _________________
Please make checks payable to Wingate University
PLEDGE __________________________________
All pledges must be completed by May 31, 2009
PLEASE CHARGE MY CREDIT CARD
? VISA ? MASTERCARD
AMOUNT $ ________________________________
CARD # __________________________________
EXP. DATE ________________________________
SIGNATURE _______________________________
All gifts to Wingate University are tax deductible. If you or your spouse work for a matching gift
company, please remember to submit your request to your company and have your gift to Wingate
University matched. Matched gifts can be double or triple the value of your donation by simply notifying your
employer.
Please return to: Bulldog Club
Campus Box 3071
Wingate, NC 28174
WELCOME TO THE BULLDOG FAMILY & THANK YOU FOR YOUR SUPPORT!
