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THE UNIVERSITY OF SOUTHERN MISSISSIPPI
EAGLE CLUB SCHOLARSHIP FUND
2017-18 MEMBERSHIP GUIDE
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MESSAGE FROM BRIAN MORRISON, SENIOR ASSOCIATE ATHLETICS DIRECTOR FOR DEVELOPMENT
Thank you!
On behalf of The University of Southern Mississippi Athletics
department and nearly 400+ student-athletes, I would like to thank you
for your continued support and interest in the Eagle Club. The Eagle Club
is the arm of the Athletic Foundation responsible for fundraising efforts
that provide scholarships for our student-athletes. Your donation directly
impacts each Golden Eagle student-athlete and our ability to manage
the escalating costs of intercollegiate athletic scholarships.
Great things have been accomplished over the years in large part to the generosity of donors and
season ticket holders who have made an investment in Southern Miss Athletics. Your support is
crucial in allowing us to provide enhanced resources for our student-athletes, coaches and continual
facility improvements.
As you read through this brochure, we ask that you consider taking your support to the NEXT
LEVEL, by either joining the Eagle Club for the first time, or recruiting your friends and family
members to get involved.
Together we can ensure Southern Miss Athletics achieves academic and athletic excellence. Again,
thank you for your continued investment in our student-athletes and university.
Southern Miss to the Top!
Brian Morrison
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TABLE OF CONTENTSMessage from Brian Morrison, Senior Associate Athletics Director for Development
Southern Miss Eagle Club
To the Top
Total Annual Investment
How to Donate
Ways to Invest
Eagle Club Lifelong Experience
Eagle Club Membership Benefits
Football Parking Map
Football Seating, Basketball Seating and Parking
Premium Seating Options
Circle of Champions
Eagle Club Membership Form
Athletic Foundation Contact Information
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WHAT IS THE EAGLE CLUB?The Eagle Club Scholarship Fund is a component of the Southern Miss Athletic Foundation, a registered
501 (c)(3) charitable organization. The Eagle Club’s sole mission is to annually raise funds to provide
nearly 400 student-athletes at Southern Miss with academic scholarships and educational support.
All funds raised annually aid in offsetting these costs to the Southern Miss Athletics department. In
2016, more than 2,500 dedicated alumni, friends and fans assisted the Eagle Club in providing student-
athletes the opportunity to pursue a college degree.
WHY JOIN THE EAGLE CLUB?STUDENT-ATHLETES NEED YOUR SUPPORT! As a donor, you have an impact on each
student-athlete at Southern Miss by helping to provide them a quality education and an opportunity to
represent the Golden Eagles at the highest level. Student-athletes carry a heavy load for the university,
and their hard work in competition and in the classroom is deserving of your support.
INVESTING IN THE EAGLE CLUB today builds the foundation for future Southern Miss Athletics
programs and impacts student-athletes for years to come. A contribution at any level is greatly
appreciated by nearly 400 Southern Miss student-athletes.
HOW CAN YOU HELP?• Consider increasing your annual Eagle Club gift at an amount that is comfortable for you.
• Contribute additional funds to special or capital projects being led by the Southern Miss
Athletic Foundation.
• Recruit a new member to join the Eagle Club.
• Join the Eagle Club for the first time or renew your membership if you were not a member last year.
2017-18 MEMBERSHIP GUIDE
2016 R&L Carriers New Orleans Bowl Champions
2016 C-USA Baseball Tournament Champions
2016 Softball C-USA West Division Champions
23 Student-Athletes Received a 4.0 GPA
53% of Student-Athletes Achieved a 3.0 GPA
TO THE TOP
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CASH GIFTSCash, checks made payable to the USM Athletic Foundation, or credit cards (VISA, MasterCard or
American Express) are accepted.
AUTOMATIC PAYMENT PLANSThrough bank draft or an automatic charge by credit card, annual gifts may be paid on a monthly,
quarterly or semi-annual basis. Setting up an automatic payment takes only a few minutes by calling
601.266.5299. All Eagle Club memberships can be pledged over a 12-month period.
COMPANY MATCHING GIFTSMany companies will match gifts to the USM Athletic Foundation, a 501(c)(3) nonprofit
organization. The initial gift, plus the matching portion, qualify the donor for benefits, priority
seating and parking at the combined level and amount. Submit your company’s matching gift form
with your 2017 contribution.
STOCKS AND SECURITIESDonors may eliminate paying capital gains tax and receive an income tax charitable deduction for
gifts of long-term appreciated securities.
ONLINE GIFTSMake a donation online 24/7 by visiting www.southernmiss.com/athleticfoundation.
HOW TO DONATE
SOUTHERN MISS STUDENT-ATHLETE
$7,854$5,588$3,620$1,000
TOTAL ANNUAL INVESTMENT
$18,062
Tuition .........................Room ...........................Board ...........................Textbooks ....................
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S EY M O U R S I D E K I C K SSeymour Sidekicks is a fun way to get your kids involved in Southern Miss Athletics. Designed for
children ages 14 and younger, this is truly where a lifetime of being a Southern Miss fan begins! To
register a child for Seymour Sidekicks, please call the Southern Miss Sports Marketing Office at
601.266.6866.
ST U D E N T E AG L E C LU BThe Student Eagle Club is the largest student organization on campus with around 3,000
members. The primary focus of the Student Eagle Club is to get students excited and committed
to supporting and promoting all Southern Miss Athletics programs.
R EC E N T G R A D UAT E P RO G R A MThe Recent Graduate program is designed to keep our young graduates (within three years) involved
in Golden Eagle Athletics as they venture out into the workplace. This program enables young
graduates to maintain full membership in the Eagle Club with benefits for only $50. Additionally,
recent graduates have access to deeply discounted tickets, so attending games and staying
connected to Southern Miss can be even easier.
E AG L E N AT I O NWe are excited to offer a new Eagle Club membership level. Eagle Nation is designed for those
individuals who wish to support and stay involved with Southern Miss, but their locations prevent
them from utilizing the normal benefits of the Eagle Club. This level is $50 annually and will
provide members with all correspondence from the Eagle Club and invitations to Southern Miss
events in their areas.
EAGLE CLUB LIFELONG EXPERIENCE
INDIVIDUAL SPORTSDonors may direct their support to any Southern Miss varsity sports. These gifts allow coaches the
additional budget flexibility to accelerate our growth on the fields and courts of play.
ENDOWMENTSEndowment giving establishes a permanent and stabilized financial base. They allow scholarships
and programs to live in perpetuity, providing a living legacy of education. Donors may designate the
endowment for a particular sport or program, or allow the Athletics department to make the award in the
area of greatest need.
CAPITAL PROJECTSCapital giving helps build the physical infrastructure needed for successful training and competition of
our student-athletes. For Southern Miss Athletics to be competitive, facility upgrades and maintenance
are critical.
ESTATE AND PLANNED GIFTSA variety of estate giving vehicles are available, from simple bequests, to trusts and other strategies
that employ a combination of gift methods. Donors will be recognized for the estimated value of
the estate gift once the gift is documented. Planned gifts make a lasting impact, and in some cases,
lifetime tax benefits may be realized.
SOUTHERN MISS EMPLOYEESUniversity of Southern Mississippi employees are able to contribute their annual gifts through a monthly
payroll deduction. All current Southern Miss employees will be credited 2:1 for every dollar donated to the
Eagle Club Scholarship Fund. For example, a Southern Miss employee who donates $250 per year to the
Eagle Club will receive the benefits of a $500 member.
GIFTS IN KINDDonating needed goods and services is another way to build the strength of Southern Miss
Athletics, while offering the donor a tax deduction for the fair market value of the gift. Please
consult your tax advisor concerning tax deductions.
WAYS TO INVEST
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EAGLE CLUB MEMBERSHIP BENEFITS
NUGGET$500
SEYMOUR$750
LOFTY EAGLE
$1,000
BRONZE EAGLE$1,500
SILVER EAGLE
$2,500
GOLDEN EAGLE
$5,000
CIRCLE OF CHAMPIONS
$12,500+
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2 4 4 6 6 8 10
1 1 1 1 2*** 2*** 2***
BENEFITEAGLE
NATION$50
RECENT GRAD*
$50
EAGLE PRIDE
$125
TALON$250
Support the Education of a Student-Athlete
Tax Deduction
Eagle Club Decal
Eagle Club Email Updates
Eagle Club Membership/ Discount Card
Invited to Exclusive Eagle Club Functions
Priority Home Season Tickets(Football and Basketball)** 2 4 4Priority Away-Game and Post-Season Tickets** 2 2 2Parking Passes(with season ticket purchases) 1 1 1
Football Program Recognition
Recognition Plaque(First Year Only)
Plaque, Ring/Pendant
*Recent graduates in the last three academic years; eligible for this level for a maximum of three years
**Contributions to the Eagle Club provide contributors the right to purchase Athletics tickets. Ticket purchases are in addition to annual contributions.
***With the purchase of more than six season tickets
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FOOTBALL PARKING MAP
3RG
18A18
13
16
12
GOLD
EN E
AGL
E AV
E.
WEST 4TH STREET
Pete Taylor Park
12B
14
11
11A
6CHARLES LANE DR.
Athletic Center
COLLEGE DRIVE
WEST 4TH STREET
Union
Hub
Thad CochranCenter
M.M. RobertsStadium
Century Park South
Parking Garage
RAY GUY WAY
19
21
20 9
33rd
AV
ENU
E
31st
AV
ENU
E
PEARL STREET
SOUTHERN MISS DR.
CentennialGreen
CentennialGreen
Pedestrian Plaza
RO
SS B
OU
LEVA
RD
Spirit Park
7
17
108
MISS DR.
Lake Byron
Rose Garden
Main EntranceCentennial GatewayMcDonalds Bank Store
ALUMNIDRIVE
OgletreeAlumniHouseEA
ST M
EMO
RIA
L D
R.
InformationBooth
FELDER PLACE
SMALL
ING D
R.
94 YA
WHGI
H .S.U
HARDY STREET HARDY STREET
SOUTHERN
14A
5
5
4
2
15A15
4A
CHA
MPI
ON
SHIP
LA
NE
94 YA
WHGI
H .S.U
KLA
W ELGAE
KLA
W ELGAE
Scianna Hall
3
LottCenter
— Lot 2 Area Parking
$1,500 Minimum Eagle Club Level
— Lot 3 Service Road Parking
$1,500 Minimum Eagle Club Level
— Lot 3RG Recent Grad Parking
— Lot 4 Suite Parking
— Lot 4A President’s Suite Parking
— Lot 5 Area Parking
$1,500 Minimum Eagle Club Level
— Lot 6 Area Parking
$1,500 Minimum Eagle Club Level
— Lot 7 Suite Parking
— Lot 8 Area Parking
$2,000 Minimum Eagle Club Level
— Lot 9 Area Parking
$1,200 Minimum Eagle Club Level
— Lot 10 Area Parking
Handicapped and Senior Eagles
— Lot 11 Area Parking
$750 Minimum Eagle Club Level
— Lot 11A Media Parking
— Lot 12 Area Parking
$1,100 Minimum Eagle Club Level
— Lot 12B Numbered Parking
$1,100 Minimum Eagle Club Level
— Lot 13 Motor Home Parking
$1,500 Minimum Eagle Club Level Lot 13 Area Parking (Cars) $350 Minimum Eagle Club Level
— Lot 14 Motor Home Parking
$2,500 Minimum Eagle Club Level Lot 14 Area Parking (Cars) $1,500 Minimum Eagle Club Level
— Lot 14A Area Parking
$1,000 Minimum Eagle Club Level
— Lot 15 Numbered Parking
$1,500 Minimum Eagle Club Level
— Lot 15A Area Parking
$1,500 Minimum Eagle Club Level
— Lot 16 Area Parking
$250 Minimum Eagle Club Level
— Lot 17 Area Parking
General Public and Eagle Club Handicapped
— Lot 18 Area Parking
$500 Minimum Eagle Club Level
— Lot 18A Area Parking
$125 Minimum Eagle Club Level
— Lot 19 Area Parking
$125 Minimum Eagle Club Level
— Lot 20 Area Parking
$500 Minimum Eagle Club Level
— Lot 21 Area Parking
$350 Minimum Eagle Club Level
— Parking Garage
Faculty, Sta� and Student Parking Valid Parking Permit Required
3RG
18A18
13
16
12
GOLD
EN E
AGL
E AV
E.
WEST 4TH STREET
Pete Taylor Park
12B
14
11
11A
6CHARLES LANE DR.
Athletic Center
COLLEGE DRIVE
WEST 4TH STREET
Union
Hub
Thad CochranCenter
M.M. RobertsStadium
Century Park South
Parking Garage
RAY GUY WAY
19
21
20 9
33rd
AV
ENU
E
31st
AV
ENU
E
PEARL STREET
SOUTHERN MISS DR.
CentennialGreen
CentennialGreen
Pedestrian Plaza
RO
SS B
OU
LEVA
RD
Spirit Park
7
17
108
MISS DR.
Lake Byron
Rose Garden
Main EntranceCentennial GatewayMcDonalds Bank Store
ALUMNIDRIVE
OgletreeAlumniHouseEA
ST M
EMO
RIA
L D
R.
InformationBooth
FELDER PLACE
SMALL
ING D
R.
94 YA
WHGI
H .S.U
HARDY STREET HARDY STREET
SOUTHERN
14A
5
5
4
2
15A15
4A
CHA
MPI
ON
SHIP
LA
NE
94 YA
WHGI
H .S.U
KLA
W ELGAE
KLA
W ELGAE
Scianna Hall
3
LottCenter
— Lot 2 Area Parking
$1,500 Minimum Eagle Club Level
— Lot 3 Service Road Parking
$1,500 Minimum Eagle Club Level
— Lot 3RG Recent Grad Parking
— Lot 4 Suite Parking
— Lot 4A President’s Suite Parking
— Lot 5 Area Parking
$1,500 Minimum Eagle Club Level
— Lot 6 Area Parking
$1,500 Minimum Eagle Club Level
— Lot 7 Suite Parking
— Lot 8 Area Parking
$2,000 Minimum Eagle Club Level
— Lot 9 Area Parking
$1,200 Minimum Eagle Club Level
— Lot 10 Area Parking
Handicapped and Senior Eagles
— Lot 11 Area Parking
$750 Minimum Eagle Club Level
— Lot 11A Media Parking
— Lot 12 Area Parking
$1,100 Minimum Eagle Club Level
— Lot 12B Numbered Parking
$1,100 Minimum Eagle Club Level
— Lot 13 Motor Home Parking
$1,500 Minimum Eagle Club Level Lot 13 Area Parking (Cars) $350 Minimum Eagle Club Level
— Lot 14 Motor Home Parking
$2,500 Minimum Eagle Club Level Lot 14 Area Parking (Cars) $1,500 Minimum Eagle Club Level
— Lot 14A Area Parking
$1,000 Minimum Eagle Club Level
— Lot 15 Numbered Parking
$1,500 Minimum Eagle Club Level
— Lot 15A Area Parking
$1,500 Minimum Eagle Club Level
— Lot 16 Area Parking
$250 Minimum Eagle Club Level
— Lot 17 Area Parking
General Public and Eagle Club Handicapped
— Lot 18 Area Parking
$500 Minimum Eagle Club Level
— Lot 18A Area Parking
$125 Minimum Eagle Club Level
— Lot 19 Area Parking
$125 Minimum Eagle Club Level
— Lot 20 Area Parking
$500 Minimum Eagle Club Level
— Lot 21 Area Parking
$350 Minimum Eagle Club Level
— Parking Garage
Faculty, Sta� and Student Parking Valid Parking Permit Required
3RG
18A18
13
16
12
GOLD
EN E
AGL
E AV
E.
WEST 4TH STREET
Pete Taylor Park
12B
14
11
11A
6CHARLES LANE DR.
Athletic Center
COLLEGE DRIVE
WEST 4TH STREET
Union
Hub
Thad CochranCenter
M.M. RobertsStadium
Century Park South
Parking Garage
RAY GUY WAY
19
21
20 933
rd A
VEN
UE
31st
AV
ENU
E
PEARL STREET
SOUTHERN MISS DR.
CentennialGreen
CentennialGreen
Pedestrian Plaza
RO
SS B
OU
LEVA
RD
Spirit Park
7
17
108
MISS DR.
Lake Byron
Rose Garden
Main EntranceCentennial GatewayMcDonalds Bank Store
ALUMNIDRIVE
OgletreeAlumniHouseEA
ST M
EMO
RIA
L D
R.
InformationBooth
FELDER PLACE
SMALL
ING D
R.
94 YA
WHGI
H .S.U
HARDY STREET HARDY STREET
SOUTHERN
14A
5
5
4
2
15A15
4A
CHA
MPI
ON
SHIP
LA
NE
94 YA
WHGI
H .S.U
KLA
W ELGAE
KLA
W ELGAE
Scianna Hall
3
LottCenter
— Lot 2 Area Parking
$1,500 Minimum Eagle Club Level
— Lot 3 Service Road Parking
$1,500 Minimum Eagle Club Level
— Lot 3RG Recent Grad Parking
— Lot 4 Suite Parking
— Lot 4A President’s Suite Parking
— Lot 5 Area Parking
$1,500 Minimum Eagle Club Level
— Lot 6 Area Parking
$1,500 Minimum Eagle Club Level
— Lot 7 Suite Parking
— Lot 8 Area Parking
$2,000 Minimum Eagle Club Level
— Lot 9 Area Parking
$1,200 Minimum Eagle Club Level
— Lot 10 Area Parking
Handicapped and Senior Eagles
— Lot 11 Area Parking
$750 Minimum Eagle Club Level
— Lot 11A Media Parking
— Lot 12 Area Parking
$1,100 Minimum Eagle Club Level
— Lot 12B Numbered Parking
$1,100 Minimum Eagle Club Level
— Lot 13 Motor Home Parking
$1,500 Minimum Eagle Club Level Lot 13 Area Parking (Cars) $350 Minimum Eagle Club Level
— Lot 14 Motor Home Parking
$2,500 Minimum Eagle Club Level Lot 14 Area Parking (Cars) $1,500 Minimum Eagle Club Level
— Lot 14A Area Parking
$1,000 Minimum Eagle Club Level
— Lot 15 Numbered Parking
$1,500 Minimum Eagle Club Level
— Lot 15A Area Parking
$1,500 Minimum Eagle Club Level
— Lot 16 Area Parking
$250 Minimum Eagle Club Level
— Lot 17 Area Parking
General Public and Eagle Club Handicapped
— Lot 18 Area Parking
$500 Minimum Eagle Club Level
— Lot 18A Area Parking
$125 Minimum Eagle Club Level
— Lot 19 Area Parking
$125 Minimum Eagle Club Level
— Lot 20 Area Parking
$500 Minimum Eagle Club Level
— Lot 21 Area Parking
$350 Minimum Eagle Club Level
— Parking Garage
Faculty, Sta� and Student Parking Valid Parking Permit Required
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VISITORS HOME
FLOOR SEATS
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- Eagle Club Seating
BASKETBALL SEATING BASKETBALL PARKING
COLIS
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1
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W. 4TH STREET
Lot 1 Area Parking$1,000 Minimum Eagle Club Level
Lot 2 Area Parking$500 Minimum Eagle Club Level
Lot 3 Area Parking$125 Minimum Eagle Club Level
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SUITES
FOOTBALL SEATING
SECTIONMINIMUM
EAGLE CLUB LEVEL
Section E $1,500
Sections D, F, N, Lower DD, EE, FF (Eagle’s Nest Only)
$1,000
East Club $500
Sections C, G, Touchdown Club $250
Sections M, O, P, B, H Upper DD, EE, FF
Top 2 Rows: 111, 112, 113$125
M.M. ROBERTS STADIUMLUXURY SUITESIn 2008, 34 luxury suites were constructed in the South End Zone of M.M. Roberts Stadium.
Suite ownership includes all Southern Miss football games and provides the ability to purchase
suite tickets to non-football events. Additionally, suite owners are allowed to use their suites twice
a year for events of their choice, such as Super Bowl parties, birthday parties or holiday parties.
Please call 601.266.5299 for availability and information on purchasing a suite on a season or per
game basis.
CLUB SEATINGM.M. Roberts Stadium has two club-level options available to fans on an annual basis:
• In the Giannini Touchdown Terrace, fans can enjoy private concessions and bathrooms, covered
outdoor seating, and an indoor area with more than 10 televisions to watch the game.
• The East Club is a large corridor with buffet-style food and drink that connects to indoor and
outdoor seating.
PETE TAYLOR PARKLUXURY SUITESSuite owners can watch the games in comfort from one of 12 luxury suites at Pete Taylor Park. Suites
offer amenities such as indoor and outdoor seating, upholstered furniture and televisions, as well
as great benefits like parking passes. Please call 601.266.5299 for availability and information on
purchasing a suite for the season.
REED GREEN COLISEUMCOURTSIDE SEATINGCourtside seating is the perfect option for fans who want to be a part of the action! Seats are
located on the floor level, available on either side of the court.
Ticket priority is based on Eagle Club level. For more information on our premium
seating options, please call 601.266.5299.
PREMIUM SEATING OPTIONS
“Being a student-athlete at Southern Miss gives me a family away from home. We live, train and win as a family. That is truly what makes being a Golden Eagle so special.”
- STEPHANY PURDUE | VOLLEYBALL
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THE CIRCLE OF CHAMPIONS IS COMPRISED OF AN ELITE GROUP OF INDIVIDUALS AND BUSINESSES FROM AROUND THE COUNTRY WHO SHARE A COMMON BOND – A LOVE FOR GOLDEN EAGLE ATHLETICS AND THE UNIVERSITY.The Circle of Champions is The University of Southern Mississippi’s group of top-tier Athletics donors, who
strive for excellence within the University’s Athletics programs. These individuals and businesses exemplify
their love and dedication to Southern Miss by making a significant financial contribution to the program.
Since 1999, the program has raised more than $80 million toward scholarship endowments and other
significant facility improvements to M.M. Roberts Stadium/Carlisle-Faulkner Field, Reed Green Coliseum,
Pete Taylor Park/Hill Denson Field, new tennis courts, new Softball Complex and Stadium, and many other
facility upgrades.
BENEFITSTwo (2) football game day parking passes | Invitations to VIP receptions and special away-game events/socials
Membership in the University’s Honor Club | First priority to purchase premium away-game tickets for post-season
Athletics events | Special recognition in Athletics facilities | Circle of Champions ring and pendant | Many more!
For more information regarding the Circle of Champions program, contact Brian Morrison at 601.266.5055
CIRCLE OF CHAMPIONS EAGLE CLUB MEMBERSHIP FORM
I AM A SOUTHERN MISS FACULTY OR STAFF MEMBER.
9 MONTHS 12 MONTHS
EAGLE NATION ($50)
RECENT GRAD ($50)
EAGLE PRIDE ($125)
TALON ($250)
NUGGET ($500)
SEYMOUR ($750)
LOFTY EAGLE ($1,000)
BRONZE EAGLE ($1,500)
SILVER EAGLE ($2,500)
GOLDEN EAGLE ($5,000)
CIRCLE OF CHAMPIONS
($12,500+)
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EAGLE CLUB LEVEL (choose one)
NAME
ADDRESS
CITY STATE ZIP
PHONE
TWITTER USERNAME: @
RECOMMENDED TO EAGLE CLUB BY
PREFERRED NAME FOR PUBLICATION
EAGLE CLUB ID (IF KNOWN)
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ATHLETIC FOUNDATION CONTACT INFORMATIONBRIAN MORRISON – Senior Associate Athletics Director, Development
601.266.5055 or [email protected]
CHRISTI HOLLOWAY – Chief Financial Officer
601.266.5034 or [email protected]
LEE APPLEWHITE – Director of Athletic Development
601.266.4906 or [email protected]
CODY BIELSTEIN – Assistant Director of Athletic Development
601.266.6829 or [email protected]
KENDALL TOWE – Assistant Director of Athletic Development for Internal Operations
601.266.6301 or [email protected]
MICHELLE HARVEY – Graduate Assistant of Athletic Development
601.266.5299 or [email protected]
SOUTHERN MISS ATHLETIC FOUNDATION MAIN OFFICE: 601.266.5299
CONNECT WITH US!Facebook: Southern Miss Eagle Club Twitter: @USMEagleClub | @USMGoldenEagles
ADDITIONAL CONTACT INFORMATION P.O. Box #15458 | Hattiesburg, MS 39404 601.266.5299 | [email protected] www.southernmiss.com/athleticfoundation
I would like to meet with an Athletic Foundation representative to talk about an endowment, a planned gift, a facility gift or estate planning.
TOTAL AMOUNT DUE:
CREDIT CARD NUMBER EXPIRATION DATE
CARDHOLDER’S SIGNATURE
METHOD OF PAYMENT CASH CHECK CREDIT CARD (VISA/MC/AMEX)
BANK DRAFT (INCLUDE VOIDED CHECK)
PAYROLL DEDUCTION (SOUTHERN MISS EMPLOYEES ONLY)
PLEDGED PAYMENTSNumber of months membership will be paid over: (12-month maximum)
Southern Miss Employee ID Number
20
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