The Fastbreak Club: The official booster club of Lady Dog basketball

Fastbreak Club Online Membership Application


IMPORTANT: Completing this form requires payment by credit card or PayPal. If you prefer to pay with a check, please complete the paper membership form and send it in with your check.

   

Names

Your first name:
Your last name:
Total in household (including you):
Are you a season ticket holder: Yes No

Contact Information

Address:
City:
State:
ZIP:
Primary contact phone:
Secondary phone:
Email address:

Membership

Please refer to the chart to the right for membership levels. The minimum donations are $40 for individuals and $60 for households.

Membership amount: $.00

Membership Levels

  • Individual (one person membership): $40+
  • Lay-up: $60-$99
  • Assist: $100-$199
  • Rebound: $200-499
  • 2-point: $500-999
  • 3-point: $1,000-$2,499
  • Double-Double: $2,500 or more

Once you submit this form, please click the PayPal button to complete this application using a credit card or your PayPal account. This application will not be considered complete without a corresponding payment.