Support GC90.7 FM WKGC Pledge Form Personal Information: *First Name: *Please enter your first name *Last Name: *Please enter your Last name Greeting: Mr.Mrs.Ms.Dr. Spouse: *Address: *Please enter your street address *City: *Please enter your city *State: FLALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY *Zip: *Primary Phone: ex: xxx-xxx-xxxx *Please enter your primary phone*Please enter your zip Secondary Phone: ex: xxx-xxx-xxxx *E-mail: *Please enter a valid email address *Please enter your email address May we thank you on the air? Yes No Would you like to receive the WKGC Program schedule? YesNo Pledge Information: Membership Thank you Gift? Yes No. Use all of my contribution for programming.Shirt Size (if applicable) SMLXL2XL3XL*Membership Type:New Member Renewing Membership Additional Gift *Pledge Levels and Premiums: $52WKGC Member ($1 per week) $90.70WKGC Frequency Club $120WKGC Bronze ($10 per month) $180WKGC Silver ($15 per month) $240WKGC Gold ($20 per month) $365WKGC Dollar-A-Day Other $ Does your employer match charitable gifts? YesNo Unsure May we have the name of your employer?Employer Name: Employer Telephone Number: Optional Questions: Age Range: 20-Below21-30 31-40 41-50 50+ What are your favorite WKGC Programs? Comments:
