MEMBERSHIP ENROLLMENT Name: _________________________________________ Address: _______________________________________ City, State, Zip: __________________________________ Email: _________________________________________
CONTRIBUTION LEVELS $5000+ National Champion $2500+ Conference Champion $1000+ All American
$500+ All Conference $250+ MVP <$250 Letter Winner _____
Donations made to the Maple Leafs Athletic Club are tax deductible and qualify for the Indiana College tax credit. For more information, contact Tim Demant, Athletic Director at (574) 535-7491 or tdemant@goshen.edu.
To join, make checks payable to: Maple Leafs Athletic Club 1700 S. Main Street Goshen, IN 46526 You may also join online at www.GoLeafs.net by clicking on “Support Our Student-Athletes”
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