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Please join us in supporting the Lane Tech Football Program and our 2005 campaign to bring lights to Lane Stadium and renovate the practice field. Simply print out this page, fill in the circle for which type of membership you want and send it along with your check to:

Lane Tech Football Booster Club
Post Office Box 577067
Chicago, IL  60657

Please Make checks payable to: Lane Tech Football Booster Club

Please fill in the circle next to which program you would like to join and fill in the information below:

Indian Membership  O          

$25.00 includes decal, home season pass, and invitation to receptions

Warrior Membership            O               

$50.00 includes decal, home games and home playoffs season pass, and invitation to receptions

Chief Tribal Council Membership   O

$150.00 includes decal, home and home playoffs season pass, invitation to receptions, and monogrammed apparel

Name________________________________Class of_____________________
Address_________________________________________________________
City____________________________________________________________
State___________________________________________________________
Phone__________________________________________________________
Zip_____________________________________________________________
email address____________________________________________________
Solicited by______________________________________________________
Received $______________________________________________________
Check Number___________________________________________________
Date___________________________________________________________
Signature_______________________________________________________


 
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