YES, I am proud to support the mission of the Cass Tech HS Alumni Association!
DONOR INFORMATION
First Name ____________________ Maiden Name ______________________ Last Name ______________________________
Address _________________________________________________________________________________________________
City/ State/ Zip ___________________________________________________________________________________________
Home Phone _______________________ Mobile Phone ______________________ Other Phone ________________________
Email ___________________________________________________________________________________________________
Employer/ Job Title ________________________________________________________________________________________
Work or Second Address____________________________________________________________________________________
Affiliation (check one) CT Alumnus Parent of CT student Faculty/Staff Friend of CTAA
Grad Year ___________________ Curriculum at CT_____________________________________________________________
MEMEBERSHIP & DONATION INFORMATION
As an investment in the Cass Tech HS Alumni Association, I/we will support the following:
Annual Alumni Giving Campaign: $10 $25 $100 Other _______________ $__________________
Would you like to designate your donation? (Optional) Athletics Arts CT Historical Documentary
Marching Band Music (Avocational and Vocational) Needy Students
Membership Dues: $25 annual $250 lifetime $5 PROACT $__________________
Capital/Building Support: $10 $25 $100 Other _______________ $__________________
Total $__________________
Enclosed $__________________
Pledge Balance $__________________
PAYMENT INFORMATION
Payment Method A: Payment Method B: Pledge
Enclosed is a check in the amount of $________________ My pledge of $_________ will be paid in ________
(Please make checks payable to Cass Tech Alumni Association) (#) installments of $ ________________________
Please charge the amount of $__________________ to my: First pledge payment to made (month/year) ______
VISA MasterCard American Express Remainder to be paid: Monthly Quarterly
Card #__________________________________ Exp Date______ I wish to receive a pledge reminder in: (circle)
Signature______________________________________________ Jan Feb Mar Apr May Jun July Aug Sep Oct Nov Dec
MATCHING GIFTS
Corporate matching gifts can double or even triple your gift to the CTAA. Please check with your personnel office to see if
your employer offers this benefit. Company Name ________________________________________________________________
Form Enclosed
CONTACT INFORMATION
Mail: Cass Tech Alumni Association Phone: 313-963-9988/ 313-263-2101
Annual Giving Campaign Fax: 313-963-9988
2501 Second Avenue Website: www.casstechalumni.org
Detroit, MI 48201 A tax receipt will be sent to you via mail.
Revised 06/06