Backcourt Club

Join the Backcourt Club

Please complete and submit this form through our secure website. If you have questions or problems, contact us via our toll free number (800) 858-5267, or email us at uwspfnd@uwsp.edu.

Required information is marked with an asterisk (*).

Membership Level

*Membership Level $

This gift is tax deductible as allowed by law less the value of benefits received.

I would like to opt out of the benefits and receive the full charitable tax deduction as defined by the IRS

Relationship to UWSP

Alum
Student
Parent
Faculty/Staff
Friend
Organization

About You

*First name MI *Last name

-or- *Organization name (if organization skip to preferred phone)

Maiden Name (if alum):

Suffix

Spouse's Name:

Preferred phone

*Street address

*City

*State

*Zip/Postal Code

Country

*Email

Employer
My employer matches gifts (I will submit matching gift information)

Will/Estate Plan Giving I would like information about including UWSP in my will/estate plan

Send us a message:

Verification

In order to provide you with greater security, we ask that you enter the numbers found in the box provided below. If no image appears with numbers, please make sure that your browser is set to display images and try again by press Ctrl + F5.

If you can't read the numbers, make your best guess or refresh your browser which will result in a new set of characters with a different background color being displayed. If you guess incorrectly, you will have an opportunity to enter a new set of numbers.

Enter the code shown above:

(Note: If you cannot read the numbers in the above
image, reload the page to generate a new one.)

*Choose Your Payment Method

Pay by Check
Pay via credit card