Cowboy Joe Club Membership Form
Membership Name
In Care Of
Spouse (joint membership)
Street Address (*We'll need a street address if you are receiving merchandise)
Address
City State ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Zip
Business Affiliation
Business Address
Home Phone
Work Phone
Email
Season Tickets: Football Basketball
UW Alum Year
Letter: Sport Year
Program Listing
Shirt Size: S M L XL
Most recent contribution year: Amount $
Your annual gift $
Amount paid now $
Balance Due $
Note: Collection of credit card information is completely voluntary, since this is not a secured form. If you have any concerns please contact the Cowboy Joe Club.
Visa Mastercard
Card No. Exp.
Please send me a reminder for the balance as follows: (minimum monthly bill $25)
Full Amount Next Month Quarterly
Semi-Annually Annualy (month?)
Other
Membership Level (Choose One): Scholarship Club.......$10,000 Coaches Club.......$5,000 Golden Spur.......$2,500 Silver Spur.......$1,750 Trail Boss.......$1,000 Top Hand.......$650 Steer-A-Year.......Calf donation or cash equivalent ($600) Wrangler.......$300 Cowboy Joe.......$200 Century Club.......$100 Pistol Pete.......$50 (I am declining all benefits)
Is this membership a gift for someone else? Yes. No.
If yes, who should we contact with any questions?
Once you submit your form, you'll be taken back to the main Cowboy Joe Club page.
