Name:

Address:

City:

State:

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Zip:

Work Phone:

Home Phone:

E-mail Address:

I would like to receive athletic email updates:

Yes No

Dana Alum?

Yes No

If yes, class year:

Annual giving club level:

Choose one Super Fan ($50-$99) First Team ($100-$249) Captain ($250-$499) All American ($500-$999) Great Dane ($1,000-$4,999) Life Viking ($5,000+)

I intend to give $ in Select payment method One payment on-line Two payments (first made today on-line) Quarterly payments (first made today on-line) Payment will follow by U.S. Mail