New Mexico Lobo Club

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Contributing to the Lobo Club is the pre-eminent way to make a difference in the lives of Lobo student-athletes. Your support provides scholarships opportunities to deserving young men and women, many of which would not attend college if not for your generous support. Lobo Club members are providing for and building the future of Lobo Athletics, Albuquerque and New Mexico through their support.

To become a member of the Team Behind the Teams please complete the on-line membership application below. Thank you for you support of Lobo student-athletes!

UNM PAYROLL DEDUCTION FORM

Lobo Club Membership Application 2010-2011 (June 1 - May 31)

I would like to support Lobo Athletics by joining the Lobo Club in the following capacity:

New Member	Renewal	Increase
Payment on Current Pledge

Member Name * (required)

Business Name/Contact Person

Mailing Address * (required)

City, State Zip Code * (required)

Business Phone

Home Phone

Fax

Email Address

Birthday (mo/day/yr)

UNM Letter Winner (Sport/Year)

UNM Alumni Year

Spouse's Name

Pledge Amount

Please enter the amount of your pledge: * (required)

Please select pledge level:

Billing Information

Payment Method * (required)

Name on Card

Card Number

Expiration Date (MM/YY)

Please bill me as follows:

One time in the month of

Monthly, starting in

Or...

Quarterly, starting June 1st

UNM Payroll Deduction (see above for form)

My company has a matching gift program * (required)

Yes No

Company Name

Do we have your permission to list your name in the annual report?

Yes No

I wish to decline the benefits associated with my donations.

Yes No

Volunteer # or Name

Total:

Please enter the security code shown

505-925-5014
505-925-5609 fax
loboclub@unm.edu

UNM Lobo Club
MSC04 2680
1 University of New Mexico
Albuquerque, NM 87131