ePay Form: Alumni Affairs


October 15 - 18, 2015

Audacity to Dream Sponsorship Packet (VIP Seating at all Events, Signature Recognition in BCNAA Brochures, BC Website Listing) Quantity @ $1,000 TOTAL
Audacity to Dream Sponsorship Packet with Spouse Quantity @ $1,250 TOTAL
Full Registration Packet:
includes (ALL event tickets; EXCEPT Tiger Jam, Football Game Tickets and Stadium Parking)
Quantity @ $250 TOTAL
Meeting Registration Only Quantity @ $50 TOTAL
THURS: Athletic Hall of Fame Banquet Quantity @ $60 TOTAL
FRI: Alumni Awards Luncheon Quantity @ $50 TOTAL
FRI: Alumni Banquet Quantity @ $55 TOTAL
FRI: Annual Line Dance Social Quantity @ $20 TOTAL
SAT: Alumni Tailgate Party Quantity @ $30 TOTAL
SAT: Football Ticket(s) - Benedict vs Clark Atlanta Quantity @ $25 TOTAL
SAT: Stadium Parking (Game: 10-17-2015) Quantity @ $15 TOTAL
SAT: Live Concert (TBA) Quantity @ $45 TOTAL
SAT: Live Concert Sponsorship Table: [VIP Table Sponsor Seating] Quantity @ $500 TOTAL
SAT: Tiger Jam featuring (DJ Shakim) Quantity @ $20 TOTAL
SAT: Tiger Jam Sponsorship Table: [VIP Table Sponsor] Quantity @ $220 TOTAL
BCNAA Membership Annual Quantity @ $25 TOTAL
BCNAA Life Member-New Grad within 5 Yrs (2011 thru 2015) Quantity @ $350 TOTAL
BCNAA Life Member Quantity @ $500 TOTAL
Other Description: Amount
(Do NOT enter $; Dollar Amount Only)

Grand Total:
(Enter below as Payment Amount)
(No dollar sign)
Secure Payment Form

Date: 11/28/15
Type of Payment:

Payment Amount (from above Grand Total; Required): (No dollar sign) | Sorry no refunds
Credit Card Information:
Card Type:

Name as on Card (Required):
Card Billing Street Address:
Card Billing Zipcode:
Card Number:
Card Expiration Date: MMYY
Card ID (CVV2/CID) Number:
[What is the Card ID?]
Mailing Information (Required ... please fill in):
Company Name:
First Name:
Last Name:
Address Line 2:
Phone Number:
Email Address: