Friends of Air Force
Basketball 2011-2012 Membership Form
Yes! I
would like to be a member of
the Friends
of Air Force Basketball.
______
NEW MEMBERSHIP
2011-20121 Membership Dues ($25)
__________ (Fund: 157-0000)
______
RENEWAL
MEMBERSHIP
______________________________________________________________________________________
My tax-deductible
donation* is also
included
$500__ $250__ $100__ $50__ other_____ (Fund: 426-0000)
Total
$$: __________
Method of Payment: Check: ___ payable to: AOG –
Friends of Air Force Basketball
or Credit Card: (circle one)
AmEx MC VISA Exp.
Date:______/20___
Name (USAFA class):
_______________________ Name on Card:
__________________________
Address:
ญญญญญญญญญญญญญญญญญ_________________________________ Card Number:
ญญญญญญญญญญญญญญญญ___________________________
City, State, Zip+4:
__________________________ Signature:
______________________________
E-mail address:
____________________________ Phone Number:
__________________________
* If your employer has a
matching-gift program, please
enclose the proper forms with your donation.
Mail to:
Friends of
Air Force Basketball, c/o Association of Graduates
3116 Academy Drive, USAF Academy,
CO 80840-4475 Appeal: 12FOB2
NEW! Time to renew your membership or if you are interested in
becoming a new member of Friends of Air Force Basketball,
fill out the form below and mail it
in for your 2011-2012 membership to Friends.