As an expression of our appreciation, the William Greenleaf Eliot Society is pleased to offer you a variety of membership privileges. Please note, however, the IRS requires that the deductible amount of your gift must be reduced by the aggregate fair market value of all benefits you choose to accept even if you do not use them. You are allowed to take benefits of up to 2% of your total gift or $132, whichever is less, without being required by the IRS to reduce your gift deduction. These regulations apply only to U.S. Federal Income Taxes.

Please review the fair market value listed for each benefit below and indicate your choice(s) by checking the appropriate box(es). You may choose to decline all benefits that hold substantial fair market value.

We assume you decline all benefits unless you specifically request them.

Eliot Society Benefits Request Form BRANCH OFF
Address
Address
City
State/Province
Zip/Postal
Country
Are you a WashU employee?
Are you requesting a new Eliot benefit, or are you updating the vehicle information on your current permit?

Declining fair market value benefits

Available Benefits

Whittemore House Application
Fair Market Value = $0
University Libraries
Fair Market Value = $0
Sumers Recreation Center Access
Fair Market Value of Center Access = $400; Fair Market Value of Center Access for Faculty/ Staff = $200
Please choose locker room assignment for member.
Please choose locker room assignment for spouse/partner.
Danforth Campus Parking Permits
*FACULTY/STAFF and STUDENTS are required to have a zone assignment through Parking & Transportation in order to receive a daily-use permit. If you select the parking benefit, Eliot Society Office will work with Parking & Transportation to apply the eligible discount toward the cost of your daily-use parking permit. The Eliot Society discount does not apply to every permit type.

Value not to exceed a maximum fair market value of $500 per calendar year
Complimentary
Complimentary

Car Information for Eliot Society Visitor Parking Permit

Name of Driver of Car #1
Name of Driver of Car #1
First
Last
Name of Driver of Car #2
Name of Driver of Car #2
First
Last