2015 ANNUAL CLUB DUES Notre Dame remains in the hearts and minds of its Alumni and friends for a lifetime. Today, those who wish to stay connected with Notre Dame have formed the largest Alumni network in the world. Our Club – the Notre Dame Club of Cleveland – is a vital link in that network. Our endowment currently stands at over $1.1 million, and, just last year, 25 deserving, Cleveland-area students were awarded Club scholarships. This assistance is due to your longstanding and continued support. Beyond direct aid to future Alumni, our Club offers a variety of activities and programs in the following categories: Camaraderie, Catholic Spirituality, Current Students, Community Service, Continuing Education, and Communications. We hope that you take the time to review and complete the attached survey, which describes more fully the many ways the Club is active in the community and how you have the chance to participate. Note: Dues are effective for January 1, 2015 to December 31, 2015. Please Print Your Name: Name Member Levels Amount Due Gold Sustaining Member. ($100 of Gold Membership goes towards the scholarship fund and summer service students). Gold Members have the opportunity to purchase tickets to our club’s allocated football game, free admission to member appreciation event, special recognition in printed materials at signature club events, and priority access to certain events, as well as all of the benefits of Basic Membership. $150.00 ______ Blue Sustaining Member. ($50 of Blue Membership goes towards the scholarship fund and summer service students). Blue Members have the opportunity to purchase tickets to our club’s allocated football game, free admission to member appreciation event, and recognition in printed materials at signature club events, as well as all of the benefits of Basic Membership. $100.00 ______ Basic Annual Dues. Membership for graduates, parents, subway alumni, and other Notre Dame friends. Members will receive newsletters, email updates, event invitations, members only pricing to certain events, and access to members only ticket exchange. $50.00 ______ Dues for graduates within last five years (reduced). Enjoy the same benefits as our Basic Members at a reduced cost. Invitations to young alumni activities and special pricing at certain events. $25.00 ______ Dues for current students, first year graduates, and members of the Clergy/Religious (waived). Sign up to be on our official club distribution list and to receive newsletters, emails, updates, and event invitations, access to members only ticket exchange. Complimentary ______ I/We would like to make an additional donation (voluntary). $____________ TOTAL AMOUNT ENCLOSED $____________ (Over) 2015 ANNUAL CLUB DUES Please Print Your Name: Name If Any Information Has Changed from Last Year, Please Indicate Below: Circle the category that applies: Class Year Undergrad Law School Graduate Architecture Graduate College of Business Graduate Parent Subway Alumni Other_____________________ Clergy Current Student Spouse’s Name Home Address City & Zip Home Phone ( ) Business Phone ( ) Cell Phone ( ) Occupation Business Name Business Address City & Zip Email Address Alternate Email NEW Children/Ages NEW Children/Ages Would you like us to forward a Membership Application form to anyone? ______________________________________________________ (Address/Email) MAIL REMITTANCE, PAYABLE TO THE NOTRE DAME CLUB OF CLEVELAND, AND RETURN TOGETHER WITH THIS COMPLETED FORM TO: Notre Dame Club of Cleveland Michael Ferkovic, CPA, Co-Treasurer 2628 South Belvoir Blvd. University Heights, OH 44118 Name: _______________________________ Email: _______________________________ Phone #: _____________________________ INTERESTED IN CLUB INVOLVEMENT? Please indicate any/all areas of interest and return with your membership form or send your Name, Email address and Phone number to: Justin Cernansky at JMCernansky@jonesday.com. Universal Notre Dame Night, Scholarship Fundraiser, Wine & Beer Tastings, Indians & Cav’s Sporting Events, Family Picnic, Golf Outing, etc. Newsletters, Email Updates, Club Directory, Photography, Website, Alumni Schools Committee, Membership, etc. Hesburgh Lecture Series, Excellence in Teaching, Lawyers Club, Play Like Champion Today Program, ND Vision, Career Center events, etc. Communion Breakfast, Family Masses, First Friday Club, etc. Rebuilding Together, Tax Assistance Program, Westside Catholic Center, Food and Clothing Drives, etc. Freshman Sendoff, Summer Service Project, Alumni Student Club events, Student Music or Athletic group visits, etc. Game Watches, Happy Hours, Community Service events, etc. Bat for the Cure, Hospital Ministry, Community Service, etc. Is there a particular area of interest or expertise that you would like to offer the Notre Dame Club of Cleveland? __________________________________________________________