VS Agreement Form – Ole Miss Athletic Foundation

Personal Information

Name *

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Publish Name

Shirt Size

Spouse Shirt Size

I would like to receive VS text correspondence *

I would like to be recognized publicly on Twitter

Giving Information

I/we would like to accept the default allocation of priority points to BLUE POINTS (90% tax deductible)
I/we would like to waive the priority points (100% tax deductible)
I/we would like to customize the priority point allocation for:

Pledge Amount & Payment Information

I wish to make my first pledge installment of $ ______. *

Please indicate your first pledge installment amount

Payment Method *

Please choose your payment method.

Signature

Recognition as a Vaught Society member(s) is guaranteed only through the life of your 5-year pledge. Please input your initial below as your digital signature. *

Signature *

Initials *

Date *

Letter of Intent

Vaught Society Letter of Intent

Personal Information

Giving Information

Pledge Amount & Payment Information

Signature