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Lancer Club
Current:
Lancer Club
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Support Worcester State University Athletics
Your Information:
First Name
"First Name" is required.
Maiden Name
Last Name
"Last Name" is required.
WSU Class Year:
Address:
"Address" is required.
City:
"City" is required.
State:
"State" is required.
ZIP/Postal Code:
"ZIP/Postal Code" is required.
Email Address:
"Email Address" is required.
Phone Number:
"Phone Number" is required.
Parent of (please include your child's name and WSU Class Year):
How did you hear about the Lancer Club?
Please Choose
Direct mail
WSU Athletics staff
Email
Website
"How did you hear about the Lancer Club?" is required.
Gift Details:
Total Gift Amount
$
"Total Gift Amount" is required.
"Total Gift Amount" must be currency.
"Total Gift Amount" must be equal to or greater than $10.00.
"Total Gift Amount" is too large.
Please let us know how you would like your gift designated by putting the amount in the field next to the team(s) you would like to support.
If you want to select just one area, put the full amount of your gift in that field and if you want to support multiple areas, please list the amount next to each one.
Select Your Designation(s)
$
Athletics Department
(No Specific Team)
$
Baseball
$
Field Hockey
$
Football
$
Softball
$
Men's Basketball
$
Men's Cross Country
$
Men's Golf
$
Men's Ice Hockey
$
Men's Soccer
$
Men's Track & Field- Indoor
$
Men's Track & Field- Outdoor
$
Women's Volleyball
$
Women's Basketball
$
Women's Cross Country
$
Women's Golf
$
Women's Soccer
$
Women's Track & Field- Indoor
$
Women's Track & Field- Outdoor
$
Women's Lacrosse
$
Women's Ice Hockey
I would like to make scheduled payments.
Scheduled Payments
Today's Payment
(Charged Today)
$
0.00
Number of Payments
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
of
$
0.00
$
0.00
Remaining Payments:
0
payment(s) of
$
0.00
Total Amount:
$
0.00
Frequency of payments:
Current Date
1st Day Of Month
15th Day Of Month
x
Twice a year
Quarterly
Monthly
The remaining payments will be placed between:
Please notify me prior to my next billing.
Number of days prior to billing that an email notification will be sent.
Email address to notify/remind:
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