Employer Gift Matching: Yes No Employer Name:__________________________ ___________________________________________ Name ___________________________________________ Address ___________________________________________ City, State, Zip Phone Cell Home Office _______________________________________________________ E-mail (for Newsletter) 100062/221632-21 Check: enclosed for $______________________ payable to: UNI Foundation- Panther Women’s Soccer Club Credit Card: Charge my Card $_______________ ___________________________________________ Signature (required for Credit Card) Date Please return form to: UNI Foundation—Panther Women’s Soccer Club 121 Commons Cedar Falls, IA 50614-0239 (Credit card information will not be kept on file) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Card Type: Visa Mastercard Discover AMEX Card #:___________________________ Exp. Date:_______________ REGISTRATION Please Check One: ALUMNI (Alumni Only) $50 T-shirt & Yearly Tailgate WHITE LEVEL - $100-$249 UNI Nike Long Sleeve Shirt* PURPLE LEVEL – $250-$499 UNI Nike Light Jacket* GOLD LEVEL- $500- $1,000+ UNI Nike Soccer Bench Coat & Autographed Soccer Ball* * - Other Items included in membership level MEMBERSHIP LEVELS PAYMENT METHOD: Find us on: https://www.facebook.com/UNIPantherSoccer/ https://twitter.com/uni_soccer www.unipanthers.com UNIPANTHERSOCCER 2018 Soccer Schedule 8/6 UNO (@Ankeny, IA) 6pm 8/11 Milwaukee (@Rockford, IL) 3pm 8/19 South Dakota 1pm 8/24 Wyoming 5:30pm 8/26 Colorado State 1pm 8/31 VCU (@Iowa) 4:30pm 9/2 Central Michigan (@Iowa) 11am 9/7 South Dakota State 6pm 9/9 North Dakota State 1pm 9/14 Northern Illinois 7pm 9/16 Iowa State 2pm 9/23 Loyola* 1pm 9/29 Missouri State* 1pm 10/1 Viterbo 6pm 10/5 Evansville* 6pm 10/9 Western Illinois 5pm 10/12 Indiana State* 6pm 10/17 Drake* 7pm 10/20 Valparaiso* 7pm 10/25 Illinois State* 4pm 10/28 MVC Tourney Quarterfinal TBA 11/2 MVC Tourney Semifinal TBA 11/4 MVC Tourney Final TBA Bold are Home Games * MVC Conference Games Membership Levels ALUMNI (SOCCER Alumni Only) $50 . . . . . .T-Shirt and Tailgate WHITE Level $100-$249 . . . . .UNI Nike Long Sleeve Shirt PURPLE Level $250-$499 . . . . . UNI Nike Light Jacket GOLD Level $500-$1,000+ . . . . .UNI Nike Bench Coat