Okemos Athletic Boosters

2008-2009 Membership Form

Please print this form (or click here to download in PDF format), complete it and mail it along with your membership dues (payable to Okemos Athletic Boosters) to:

     Okemos Athletic Boosters
     c/o Kim and Mike King
     4581 Spicewood Drive
     Okemos, MI 48864

Check One

__ Chieftain Club - $300 minimum ($115 tax deduction)
     - Family Athletic Season Pass (a $175 dollar value)
     - Two home football parking passes
     - Recognition in all athletic programs

__ Maroon & White Club - $200 minimum ($20 tax deduction)
     - Family Athletic Season Pass (a $175 dollar value)
     - One home football parking pass
     - Recognition in all athletic programs

__ Blue Club - $100 minimum ($95 tax deduction)
     - One home football parking pass
     - Recognition in all athletic programs

__ Patron Club - $50 minimum ($50 tax deduction)
     - Recognition in all athletic programs

Name(s): ____________________________________
                (as you wish to appear in Programs)

Address: ____________________________________

Email: ______________________________________

Phone: _____________________________________

 

Family Pass Information:
(list names) 

Adult _________________________
Adult _________________________
Student _______________________
Student _______________________
Student _______________________

For a non-membership donation, simply enter "DONATION" in the memo field and forward your check to the above address.

Thank you for your support of our Student-Athletes!

Click HERE to return to the Membership page.

 
Okemos Athletic Boosters
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