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M Club Logo"M" Club Membership Form

Renew your bond with MSU and your former Maverick teammates! Show that you believe in future MSU varsity athletes just as others believed in you.

Name: _________________________________________

Address: _______________________________________

City: _________________________State:___Zip:_______

Phone: _________________________________________

Sport in which you received your letter: _______________________

Years of participation: ____________________________

E-mail: _________________________________________

Membership Options

First Year Alumni - $25 (2003-04 Graduates)

Alumni - $50

Lifetime - $500

Method of Payment

Check ( Make payable to "M" Club)

Credit Card: __ MasterCard __ Visa __ Discover

Credit Card #:_____________________________________

Expiration Date: __________________________________

Automatically renew membership

(Bill my credit card annually for my membership fee)

Signature: _______________________ ____________

In addition to my "M" Club membership I would like to donate to the MSU Scholarship Fund (tax-deductible)

Please print out form, fill out, and mail to:

"M" Club
135 Myers Field House
Mankato, MN 56001

Please send me more information regarding:

Touchdown Club

Blue Line Club

Hoops Club

3 Point Club