To make your gift in support of the Ragin' Cajun Athletic Endowment -- Operation Kickoff through a bank note, please complete and return this form. A representative from the bank that you check off below will contact you.

Bank Preference (check one): ____ MidSouth Bank ____ iBERIABANK

Applicant Name: _______________________________________

Street Address: ________________________________________

City: _______________________ State: ____ Zip: ____________

Home Phone: (____) _________ Work Phone: (____) __________

*Subject to credit approval.