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   Zip

Business Affiliation

Business Address

City State   Zip

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.