| If you’d like to join IPTAY, just take a moment to fill out this form; and someone from our office will contact you to finalize your membership.
If you’d like more information on the membership types, read this, e-mail Robin Lay or phone her at (864) 656-2115.
| Membership Type |
| |
| |
| Please Choose One $250 Tiger Pride Brick$30 Tiger Cub Club $30 IPTAY CATS$500 IPTAY CATS Sustaining$500 Cub Club Sustaining $100 Gold Card $250 Gold Card $500 Gold Card $1,000 Tiger Scholarship $2,000 IPTAY Scholarship $5,000 Fike ScholarshipOther |
| Donation (if other than minimum) $ |
| |
| New Donor |
|
Renewal |
|
| |
| Personal Information |
| |
| |
| Name |
|
|
| E-mail |
|
|
| Address |
|
|
| City |
|
|
| State |
|
ZIP |
| Home Phone |
|
ext |
| Work Phone |
|
ext |
| IPTAY Number |
|
|
|
| |
|
|
|
|
|
