YOUR MEMBERSHIP INFORMATION

Name ________________________________________________________________________________________

Street address _________________________________________________________________________________

City________________________________________ State_________________ ZIP _________________________

Email _________________________________________________________________________________________

Primary phone _________________________________________________________________________________

Shirt size (if applicable to giving level) _____________________________________________________________

¨ I am a former Vanderbilt Football player.

Graduation year_________________________ Degree or major ______________________________________

Jersey number__________________________ Position _____________________________________________

Honors earned ______________________________________________________________________________

NCC Gridiron Club giving levels (please select one) ¨ Anchor $10,000 ¨ Star V $5,000 ¨ Dore $2,500¨ Captain $1,000 ¨ Gold $500 ¨ Black $150 ¨ Other $ ________________

Your donation information¨ Check (Make payable to Vanderbilt and designate “NCC Gridiron Club” in the memo line.)

¨ Credit Card¨ American Express ¨ Discover ¨ MasterCard ¨ Visa

Cardholder’s name _____________________________________________________________________________

Card number _________________________________________________ Expiration Date __________________

Payment options ¨ One-time charge ($_____________) ¨ Monthly payments ($_____________ for _____________ months)

Signature _____________________________________________________________________________________

You may also make your NCC Gridiron Club gift online at vu.edu/gridiron.

¨ I wish to decline all tangible benefits associated with this gift. (Unless benefits are declined, contributions to the NCC Gridiron Club cannot be paid through donor advised funds, foundations or IRA distributions, as they do not allow individuals to receive goods and services in exchange for their contributions.)

Mail to: Vanderbilt University Gift Processing, PMB 407727, 2301 Vanderbilt Place, Nashville, TN 37240-7727

Have NCC Gridiron Club questions? Call (615) 322-4114 or email ncc@vanderbilt.edu.

JOIN THE NCC GRIDIRON CLUB TODAY!2014–15 MEMBERSHIP

The NCC Gridiron Club is a restricted fund benefiting Vanderbilt Football. The membership year runs July 1, 2014, through June 30, 2015. NCC Gridiron Club members are also National Commodore Club members and receive priority credit; however, an additional gift to the NCC unrestricted annual fund is necessary for priority seating and parking.

Thank you for your gift to Vanderbilt Football. Every gift in every amount makes a lasting impact.

VANDERBILT FOOTBALL 2014–15

ANCHOR DOWN!

FAQsIf I donate to the NCC Gridiron Club, will I be recognized as an NCC member?Yes. All donors to any area of Vanderbilt Athletics are recognized as NCC members.

Will my donation to the NCC Gridiron Club be a restricted or unrestricted gift? A donation given directly to a specific sport’s program is a restricted gift. A restricted gift goes to an individual sport’s “excellence” fund for projects outside its operating budget.

Will my donation to the NCC Gridiron Club apply toward NCC benefits? No. You will receive NCC priority points, but you must make a separate gift to the NCC unrestricted annual fund for priority seating and parking.

NationalCommodoreClub.com*T15CA9999999999*