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WESU Pledge Invoice Form
Complete this form an we will send you an invoice in the mail.
Enter the required information in the appropriate fields below.
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** NOTE Hitting "Enter" at any point submits the form (ready or not!) **
If you experience difficulty processing your form, please alert us by submitting another form with a note in the "additional information" field at bottom of form page.
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* Indicates required question
Is this your first time pledging to WESU?
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No
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Donation amount
*
Your answer
Personal Information
First name
*
Your answer
Last name
*
Your answer
Email (if none available use
pledge@wesufm.org
)
*
Your answer
Street address 1
*
Your answer
Street address 2
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City
*
Your answer
State
*
Your answer
Zipcode
*
Your answer
Country
*
Your answer
Phone
*
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If this donation is in support of a particular program, person, or something else, please note here: If none, pleas enter "N/A"
*
Your answer
Donation Information
Select your thank-you gift
*
Choose
Do not send a gift. I want my entire donation to benefit WESU.
$35 New Classic - short sleeve - gold & white ink on black - One sided
$45 WESU-O-Meter short sleeve - Black ink on heather gray - Two sided
$60 Screen Printed WESU poster – new original design - hand printed, signed and numbered by Lee Berman (aka ADDJ)
$75 Hooded Sweat Shirt - gold & white ink on black
Other program specific pledge premium (please list premium description & program below)
Please indicate the shirt or hoodie size/s you would like. If you did not order a shirt please select the first option.
Choose
I did not order a shirt or hoodie
S
M
L
XL
XXL
If are selecting an audio CD you heard about on a specific show, please list CD & radio program name(s) or day/time below
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How did you hear of this pledge drive?
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Listening to WESU
Wesleying.org
Alumni email
Local press
Direct from WESU staff
Fellow listener
Another source
Additional Information
enter any other info you think we should knwo about your donation
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