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Fredericktown Athletic Boosters Membership Form

                                                    August 2021 – May 2022

                         President – Scott Harmon, Vice President – Nate Bellman, Vice President - Brad Mast,
                                        Secretary – Emily McManis, Treasurer – Donald Cobb

                  THE ATHLETIC BOOSTERS MEET THE SECOND MONDAY OF EACH MONTH AT 7:00 PM AT THE
                    FREDERICKTOWN BOARD OF EDUCATION OFFICE.  EVERYONE IS WELCOME TO ATTEND.


                  FAB is a 501 (c)(3) organization and is NOT financially supported by the Fredericktown Schools.  All money
                  generated through the membership drive, advertising, FAB Timing, and concession sales is used to benefit the
                                          Fredericktown Schools athletic programs and athletes.

               Please complete the form below and mail to:
               Fredericktown Athletic Boosters,  P.O. Box 127, Fredericktown, OH 43019


               Please make checks payable to:  Fredericktown Athletic Boosters or FAB

               Donation Amount:
                        ______ $25 Family Membership                            ______ $100 Freddie Silver


                        ______ $50 Freddie Bronze                               ______ $200 Freddie Gold
                                                    ______ Other Amount


               Sport your membership will support (this may be split between programs): _______________________


                Name:  _____________________________________________________________________________

                Address:  ___________________________________________________________________________


               Telephone:  ____________________________  Email: ______________________________________

               How would you like your name to appear in the sports program?


               ____________________________________________________________________________________

                            _______ Check here if you would like to remain anonymous and/or not appear in the program.


                 Your continued support as a FAB member is very important to the success of
                                             our student athletes. Thank you!


                    Administration Use Only:  Payment Method:  Cash _______ Check # _________  Credit Card ________

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