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Bucs Club Membership Drive 2017-18
Email address *
First name *
Last name *
Address 1 *
Address 2
City *
State *
ZIP Code *
Phone *
I AM A
Select from the following: *
DCC Alumni
Faculty/Staff
DCC Friend
Parent
Former Athlete
If you selected "Parent", what is the student's name
If you selected "Former Athlete", which sport(s) did you play?
MEMBERSHIP LEVEL
Select one *
Black Beard's Crew ($2,500)
Captain's Crew ($1,000)
Jolly Roger's Club ($500)
Navigator's Club ($300)
Master Gunner's Club ($100)
Other
If other, please enter the amount
CONTRIBUTION TO
Select from the following *
General Athletic Fund
Baseball
Softball
Men's Basketball
Women's Basketball
Rodeo
Volleyball
Weight & Cardio Rooms
Other
If other, please specify
Shirt/Jacket size *
Small
Medium
Large
X-Large
XX-Large
I understand this charge will appear on my bank statements as "PrestoSports"
*
Yes
* = required field
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