Paetow Athletic Booster Club
2020-2021 Membership Form
Parent Last Name
Parent(s) First Name(s)
Street Address Line 2
State / Province
How Should Name Be Listed In Program:
Enter exactly as name should appear
PANTHER ATHLETE INFORMATION:
1st Athlete Name:
2nd Athlete Name:
ANNUAL MEMBERSHIP LEVEL:
Additional Donation(s) to a Specific Sport and Amount(s)
Funds are deposited into the general fund. You may make an additional donation to a specific sport(s) by indicating the sport(s) and amount(s) below.
Total ADDITIONAL Amount $:
Would you like to be contacted for volunteer opportunities?
Does your company match donated funds? If so please enter the company name
Total 2020-2021 Membership Amount $:
Credit Card Total $:
( X )
Credit Card Number
Should be Empty:
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