MSJC FOUNDATION, 1499 N. STATE ST., SAN JACINTO, CA 92583
I am pleased to join____ renew____ my membership in the President's Club at the following
level:
______Friend $300 - $499 ______Council $500 - $999
______Advisor $1,000 - $2,499 ______Circle $2,500 plus
I would like to make a total annual gift of $_____________.
Date Joined or Date Renewed _________________________________________________
Name _____________________________________________________________________
Please print
Address____________________________________________________________________
City, State, Zip_______________________________________________________________
Phone Number ( )_____________________Spouse’s Name_______________
Email address_____________________________________________
Payment Method: ______*Check ______**Visa ______**MasterCard _____ ** Discover
* If paying by check, please indicate: _____ yearly _____ bi-annually
_____ quarterly ______ monthly.
** If paying by credit card, please complete the following information:
Card No._____________________________________ Expiration Date____________
Make deductions from credit card: _____yearly _____bi-annually
____ quarterly ____ monthly
Cardholder's signature:______________________________________________________
NEW! Another way to pay for your membership is to go to our secure online giving site. To
use this service, go to
www.msjc.edu/foundation and click on “Secure Online Giving/MSJC
Foundation”. A secured site will appear, allowing you to make your donation by credit card.
Thank You!