Radio Pledge for Sustaining Members

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Thank you for choosing to be a SUSTAINING MEMBER of Delta College Public Radio!

Every dollar counts! To make a tax-deductible donation to Delta College Public Radio, please fill out and submit the form below.

Please note - Donor information is never sold, rented or exchanged with third parties. Your trust is important to us.

To make a gift by mail, please send your check to the following address:

Delta College Public Media
1961 Delta Road
University Center, MI 48710

To make a gift by phone, please call 877-472-7677

* = Required fields

Donor Information

First Name:

Last Name:

Street 1:

Street 2:

City:

State/Province:

ZIP/Postal Code:

Phone Number:

Email Address:

Name on Air

If time permits, may we read your name and city over the air?

Yes

Which program are you currently enjoying?

Program Name

This radio option selects the field value from the following selection list.

This radio option selects the field value from the following text input field.

Donation Information

Field Is Required Select Monthly Giving Amount:

$10.00

$9.00

$8.00

$6.00

$5.00

Enter Monthly Amount (00.00 format)

Enter amount

Please select a "Thank You Gift" or select 100% donation to programming.

A donation level must be first selected to view available Thank You gifts.

Shipping Information

Use the billing information as the shipping information.

Shipping First Name:

Shipping Last Name:

Shipping Street 1:

Shipping Street 2:

Shipping City:

Shipping State/Province:

Shipping ZIP/Postal Code:

Do you work for a Matching Gift company?

Select your employer from the drop down list.

Payment Information

Credit Card Information:

Credit Card Type:

Credit Card Number:

Expiration Date:Select month of credit card Select Expiration Year

CVV Number: What is this?

ONGOING MONTHLY MEMBERSHIP TERMS OF AGREEMENT – You’re authorizing Delta College Public Media to charge your credit card monthly. You may change your monthly payment anytime by calling 877-472-7677.

Please check the box below verifying you agree to these terms.

I agree

Additional Comments

Do you have any comments regarding our programming that you would like to share with our staff?

Thank you!