HARDWOOD CLUB MEMBERSHIP FORM


NAME: _______________________________________________

ADDRESS: ____________________________________________

CITY/STATE/ZIP: _____________________________________

HOME PHONE: _________________________________________

WORK PHONE: _________________________________________

E-MAIL: _____________________________________________


___ MEMBER ___ EXECUTIVE
        MEMBER
___ CARDINAL
        COUNCIL
        MEMBER
($50+ Contribution) ($100+ Contribution) ($250+ Contribution)
T-Shirt Choice of (Circle One):

Sweatshirt

Mock Turtleneck
Sweatsuit


HARDWOOD CLUB MEMBER 2002-2003:

_____ YES    _____ NO

CUA ALUMNUS/A:

_____ YES    _____ NO         YEAR (if yes): ____________


SHIRT SIZE:    L _____    XL _____    XXL _____


Please make checks payable to:

   The CUA Hardwood Club
Mail To:

   Catholic University
   Men's Basketball Office
   3606 John McCormack Road, N.E.
   Washington, DC 20064-0001

     * Please check to see if your company has a matching gift program. If so, please make checks payable to Catholic University, not CUA Hardwood Club. Thank You.