WUSB Donor Registration Form
Pledge sheet 2019
* Required
Email address
*
Your email
First name
*
Your answer
Last name
*
Your answer
Street address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Phone Number (include area code)
*
Your answer
Would you like a thank you premium gift?
*
No thank you keep up the great radio!
Yes please! Choose below and write in the comments box below.
Please choose premium
Sweatshirt
Tshirt
Baseball Cap
Tote Bag
CD
90.1 Package
107.30 Package
Other:
Please write in your premium gift selection and shirt size or number of tickets if required.
Your answer
Amount donated
*
Your answer
Please write in your name, any comments, the show you are pledging for or any additional information we need to know!
*
Your answer
How would you like to make your gift donation?
*
Mail me an invoice please! Please click Submit button
Recurring monthly credit card pledge of $5 or more per month.We will call you to confirm.Please Click Submit button.
One-time credit card pledge - Please use Submit button to Link to secure credit card form to continue
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