Name:	_________________________________________
Address:	______________________________
	______________________________
	______________________________
Phone #:	____ - _____ - ______
Email :	_________________________________________
Amount of Donation: $___________
	Important - Checks must be made out to:
	MUF - Football Legacy Club*
	*Must appear on check

 

---

Please Print and mail this form along with your donation to:

Mansfield University Foundation, Inc.

Alumni House

Mansfield University

Mansfield, PA  16933

If you have any questions about becoming a member of the Mansfield University Football Legacy Club please contact:

Alex Ogeka Director of Development for Athletics Mansfield University Mansfield, PA 16933 Phone: 570-662-4380 Email: aogeka@mansfield.edu