2015_Club_Membership_Form - Notre Dame Club of Cleveland

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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? __________________________________________________________
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