Yale Hockey Association DESIG.#
P.O. Box 208216, New Haven, CT 06520-8216
15164
July 1, 2017 - June 30, 2018 Please enter your address if not displayed below:
CONTRIBUTION LEVEL ͳ
PLEASE INDICATE AMOUNT Έ BENEFITS LISTED ON REVERSE SIDE Ή
$_______________ CHAMPIONSHIP CLUB
$10,000 +
$_______________ ELI CLUB
$5,000 ͳ $9,999
$_______________ COACHES CLUB
$2,500 ͳ $4,999
$_______________ CAPTAINS CLUB
$1,000 ͳ $2,499
$_______________ PLAYERS CLUB
$500 ͳ $999
$_______________ BULLDOG CLUB
$100 ͳ $499/CLASSES OF 2013ͳ2017 ͳ $75
$_______________ TOTAL ASSOCIATION GIFT AMOUNT Please do not include my name in any donor listings If you work for a matching gift employer and would like the company to match your contribution, please enclose your matching gift information. All gifts are tax deductible to the extent provided by law. For gifts of securities, please call: (203) 432-4107. Please make check payable to YALE UNIVERSITY or charge my credit card: VISA R Master Card R American Express R
_________________________________ Signature
Exp. Date
___ / _____
______________________________________________________________________ E-mail Address ______________________________________________________________________ Name on Card ______________________________________________________________________ Phone#
PLEASE CHECK BOX TO ACCEPT THESE BENEFITS IF YOU ARE ELIGIBLE, BASED ON YOUR GIFT SIZE! I accept season parking and understand my deducƟble contribuƟon will be reduced by the amount below. Please indicate your preference: Prospect Street Parking Lot
$175
Mansfield Street Parking Lot $175 Prospect-Sachem Garage
$75