2017-18 Panther Club Membership Benefits

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PANTHER CLUB

PANTHER CLUB MEMBERSHIP Name: _______________________________________________ Maiden Name: ________________________________________ Year of Graduation (if alumnus/a):__________________________ Affiliation with Adelphi: Alumnus

Parent

Staff

Friend

Faculty

EXECUTIVE COMMITTEE PRESIDENT

Home Address: ________________________________________

DENNIS LIND

____________________________________________________

VICE-PRESIDENT

____________________________________________________ Phone: ______________________________________________ Email:________________________________________________ Enclosed is my contribution of $ ___________ for my annual Panther Club membership. (Please make checks payable to Adelphi University) Unrestricted Restricted (indicated team) ___________________________ Please charge my contribution of $ ___________ to my Mastercard/Visa #______________________________________ Exp. date_____________________________________________

SUE TENDY BOARD MEMBERS STEVE CIAVARELLI BILL DABNEY EMILY DORKO LOU FLEGO BARRY GROSS RUSS HUBER RICH ILLSLEY DANNY MCCABE CURTIS MINNIS VERONICA MULLEN DANIELLE PARKS BOB QUINN

Signature_____________________________________________ Date_________________________________________________ Please Return To: The Panther Club c/o Adelphi Athletics Adelphi University One South Ave Garden City, NY 11530

2017-18 MEMBERSHIP BENEFITS


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