CHARTER MEMBERSHIP and DONATION FORM
Period ending December 31, 2008

International Institute
for Sport and Olympic History

The IISOH is a Pennsylvania non-profit educational, literary and research corporation
under section 501(c)3 of the Internal Revenue Code.
Donations are tax deductable.

Copy this page and return it with your donation to:
IISOH -- P.O. Box 175 -- State College, PA 16804-0175

Please Print neatly....

Name: ________________________________________________________________________________

Address:_______________________________________________________________________________

City_____________________________State________Zip____________Country_______________________

Telephone________________________Fax_______________________Email_________________________

Annual Membership Categories:

___ Youth Member (Under 18).... $10

___ Adult Member (18 & over).... $25

___ Bronze Member.... $100

___ Silver Member.... $250

___ Gold Member.... $500

___ Lifetime Member.... $1,000

Alternative Donation Categories:

___ Contributor.... $5,000

___ Friend.... $10,000

___ Donor.... $25,000

___ Sponsor.... $50,000

___ Patron.... $100,000

___ Benefactor.... $250,000

ENDOWMENTS and NAMING OPPORTUNITIES

___ Sculpture Garden Statue Endowments....$300,000 to $3.5 million
Donor selects a statue to sponsor, such as the DISCUS THROWER, SEATED BOXER or ROCKY

___ Room Endowments....$ 300,000 (10x12 ft. room); $ 500,000 (10x25 ft. room)
Donor names a room in the library or museum -- reading rooms, research rooms, subject collection rooms, etc.

___ Board Room Endowment.... $1 million
Donor names the Board of Director's Meeting Room -- only one such endowment is possible.

___ Subject Endowments.... $1 million
Donor endows a subject area of their choice, such as Baseball or Football and can name the endowment such as: John & Jane Doe Endowment for Fencing. The name can honor or memorialize and person or event.

Premium Naming Opportunities


___ Library .... $30 million

___ Museum.... $30 million

___ Dance Theatre.... $30 million

The donor gets perpetual naming rights for their generosity, subject to approval of the Board of Directors.
For example:
the XYZ Corporation Library for Sport History or
the ABC Family Museum for Sport History or
the John & Jane Doe Theatre for Dance History.

Send your Donation in US Dollars via: ___ Check ___ Money Order ___ Bank Transfer

We prefer not to take take credit cards in order to save on bank fees. Bank account details will be sent upon request.
We give written acknowledgement for all donations in excess of $250 as required by the Internal Revenue Service.
Thank you for your support!
Vielen danke -- Merci beaucoup -- Muchos gracias.

Your annual membership is a supporting contribution to the International Institute for Sport and Olympic History (IISOH), a Pennsylvania non-profit educational, literary and research corporation under section 501(c)3 of the Internal Revenue code. Your donation is tax deductable. "Membership" does not give the donor any voting rights in accordance with Article 6 of the Articles of Incorporation. The IISOH is organized to operate a library and museum for the purpose of promoting the study of the History of Sport, Physical Education, Recreation, Dance, Sport in Art and the Olympic Games. Donations of Olympic & sports memorabilia, books or serials are also welcome. This Charter Membership Drives ends December 31, 2008.

Inquiries about Endowments or membership information,
contact the IISOH at (814) 237-8331.

revised form -- June 23, 2007

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