Membership

 

The Notre Dame Club of Columbus

P.O. Box 186
Columbus, Ohio 43216

 

This is the Notre Dame Club of Columbus membership form for the year beginning July 1 and ending June 30. Please make the necessary changes, and return this form to the Club with the appropriate remittance.

 

Personal Data

Business Information

Last Name:

First Name & MI:

Address:

 

City:

State:

Zip:

Spouse:

Home phone:

 

Business Name:

Address:

 

City:

State:

Zip:

Occupation:

Title:

Business phone:

Class of:

Degree:

 

Email:

 

Status: Alumnus/Alumna Parent of current student or alumnus Friend of ND

 

Please choose the appropriate level of support:

$500 EMERALD - First 25 members at this amount receive two free ND-Michigan tickets (9/13/2008)

$220 JOYCE MEMBERSHIP - This level gives four chances in the Club ticket lottery.  ND’s ticket lottery donation for next year is $200.  This level will meet that obligation and qualify you for ND’s ticket lottery.

 

$120 GOLD MEMBERSHIP - This level will provide gives the donor three chances in the ticket lottery.

 

$50 BLUE MEMBERSHIP - This level will provide $20 for the club's scholarship fund and gives the donor two chances in the ticket lottery.

$30 BASIC MEMBERSHIP - This level will provide $5 for the club's scholarship fund and gives the donor one chance in the ticket lottery.

 

$20 YOUNG MEMBERSHIP - This level will provide $5 for the club's scholarship fund and gives the donor one chance in the ticket lottery.  Alumni of the last 5 years qualify.

 

 

Print this completed form. Please make checks payable to Notre Dame Club of Columbus and mail to:

P.O. Box 186

                Columbus, Ohio 43216

 

 

 

Please send all mail to:

        

For Directory purposes:

Home Address
Business Address
Email Address

        

Include all of the information
Include only the checked information
Include none of the information


 

 

 

IF YOU HAVE ANY QUESTIONS ABOUT THIS FORM, CONTACT Dave Cernak, Membership Chairman:  dcernak@alumni.nd.edu

 

Please note: The Notre Dame Club of Columbus is a non-profit organization, and files its 501 (c)(3) Federal Return under the group "The Association of Notre Dame Alumni Clubs, Inc.".