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KXVS Membership Application
Your membership is a meaningful way to contribute to and support programming and operations at KXVS The Voice of Stockton, and may be tax-deductible. Thank you for your support! We could not do it without you.

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Email address *
First name *
Your answer
Last name *
Your answer
Phone number (use XXX-XXX-XXXX format) *
Your answer
May we sent periodic text messages to this number? *
Preferred contact method *
Mailing address (line 1)
Your answer
Mailing address (line 2)
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City
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State
ZIP Code *
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Are you a new member? *
Annual Membership Level (perks listed at bottom of form) *
Please select one
Contribution Amount (in $ USD) *
Your answer
Automatic Renewal (on this date next year)? *
T-shirt Size *
Gender
Birthdate
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DD
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YYYY
Facebook user name
Your answer
Twitter user name
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Instagram user name
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Favorite Programs/Genres
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How did you hear about KXVS?
Your answer
What made you decide to join KXVS?
Your answer
Membership Level Perks
Lifetime Membership $500 (one-time)
• KXVS Sustainer Membership Package
• Lifetime name listing on KXVS.org
• Exclusive Lifetime Member benefits

Supporter Membership $20-$39
• KXVS Member Identification Card
• KXVS Newsletter Subscription
• KXVS Promotional Gift Item
• Name listing on KXVS.org and in the next KXVS Newsletter
• Live on-air thank you acknowledgement

Ambassador Membership $40-$99
• KXVS Supporter Membership Package
• Ambassador name listing on KXVS.org
• KXVS T-shirt

Sustainer Membership $100-$249
• KXVS Ambassador Membership Package
• KXVS Membership Certificate
• Sustainer name listing on KXVS.org
• Bimonthly on-air acknowledgement for 1 year

Patron Membership $250-$499
• KXVS Sustainer Membership Package
• Patron name listing on KXVS.org
• Monthly on-air acknowledgement for 1 year

Grantor Membership $500-$999
• KXVS Sustainer Membership Package
• Grantor name listing on KXVS.org
• Biweekly on-air acknowledgement for 1 year

Benefactor Membership $1,000-$9,999
• KXVS Sustainer Membership Package
• Benefactor special name listing on KXVS.org
• Benefactor acknowledgement plaque
• Weekly on-air acknowledgement for 1 year
• The first 100 KXVS Benefactors and higher level memberships will be placed on the KXVS Founders Wall Plaque permanently displayed at the station office to recognize their founding support, and will be named in a weekly acknowledgement for the life of KXVS

Altruist Membership $10,000-$49,999
• KXVS Benefactor Membership Package
• Prominent Altruist name listing on KXVS.org
• Altruist special acknowledgement acrylic wall plaque
• Equipment or facilities named after the Altruist Member
• Each KXVS Altruist will have an individual permanent Acrylic Wall Plaque displayed at the station office to recognize their altruistic support, and will be named in a daily acknowledgement for the life of KXVS

Legacy Membership $50,000-$99,999
• KXVS Benefactor Membership Package
• Preferred Legacy name listing on KXVS.org
• Legacy very special acknowledgement marble wall plaque
• Major equipment or facilities named after the Legacy Member
• Each KXVS Legacy Member will have an individual permanent Marble Wall Plaque displayed at the station office to recognize their altruistic support, and will be named in multiple daily acknowledgements for the life of KXVS

Estate Membership $100,000-499,999
• KXVS Benefactor Membership Package
• Premium Estate name listing on KXVS.org
• Estate distinctly special acknowledgement granite wall plaque
• On-air studio named after the Estate Member
• Each KXVS Estate Member will have an individual permanent Granite Wall Plaque displayed at the station office to recognize their altruistic support, and will be named in hourly acknowledgements for the life of KXVS

Endowment Membership $500,000+
• KXVS Benefactor Membership Package
• Permanent primary Endowment name listing on KXVS.org
• Endowment supremely special acknowledgement brass wall plaque
• Station facility named after the Endowment Member
• Each KXVS Endowment Member will have an individual permanent Brass Wall Plate displayed at the station office to recognize their altruistic support, and will be named in hourly acknowledgements for the life of KXVS

A copy of your responses will be emailed to the address you provided.
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