2006 VASF Contribution Card

		Amount of Gift $__________

[] Check enclosed []Charge to credit card (below)
[] Employer matching gift form enclosed
[] Send me information regarding the Vol Check-off program
[] Send me information regarding estate planning/planned gifts
[] I have the University of Tennessee athletic department in my will

Name :__________________________________________________________
Preferred Mailing Address :_____________________________________
City :_____________________ State :_____________ Zip :__________
Home Phone :_______________ Business Phone :____________________
[]By checking this box, I waive all donor benefits 
  in order to maximize my IRS deduction.

		MEMBERSHIP CLASSIFICATION

[] Nathan Dougherty Society 
[] Gold Victor   	- $125,000 & up
[] Silver Victor 	- $10,000 & up
[] Bronze Victor 	- $ 5,000 - $9,999 
[] Mountaineer   	- $ 2,500 - $4,999
[] Trailblazer   	- $ 1,000 - $2,499
[] Plateau       	- $ 500   - $ 999
[] Ridgerunner   	- $ 250   - $ 499
[] Foothills     	- $ 100   - $ 249
[] Big Orange Club	- $ 50    - $ 99

Fund Drive Worker:	Chuck McCollum
Team Name:		Mitchell/Cleveland

Credit Card Information
Card No :________-________-________-________
Expiration date:     Month___ Year___
Amount Charged:   $_________
Cardholder Signature :___________________


Mailing Address:
University of Tennessee
Athletic Development Office
P.O. 15016
Knoxville, TN 37901-5016

Phone:
(423) 974-1218

Make Checks Payable to:	The University of Tennessee