NAME:    _________________________________________________

ADDRESS:________________________________________________

CITY:  __________________  STATE:________  ZIP:_____________

EMAIL ADDRESS :  ___________________________

I AM A STUDENT IN MY:___________ YEAR

I ELECT TO PAY MY ANNUAL DUES BY : CHECK CASH CC

Make dues payable to "Student Bullpen Club"

Under the provisions of NCAA 13.02.12. membership in The Ole Miss Rebel Bullpen Club would constitute a person being defined as a "representative of the athletic interest" for The University of Mississippi. Such persons are prohibited under NCAA Bylaw 13.01.5 from making in-person, on or off campus recruiting contacts, or written or telephonic communication with a prospect or the prospect's relatives or legal guardians. The University of Mississippi is held responsible by the NCAA and is subject to penalties for violations committed by such persons. If you have any questions about NCAA rules or have any knowledge of any violations, contact the Compliance Office at The Department of Intercollegiate Athletics.
Tel: 662-234-8046 • 662-607-3393
www.bullpenclub.com
Fax: 662-234-8046

COLLEGE BASEBALL'S LARGEST - MOST ACTIVE SUPPORT ORGANIZATION