Read Microsoft Word - Online Pledge Form10.doc text version

Dear Q 90 FM listener, Once again it is time to ask our loyal listeners to help support the ministry of Q 90 FM through a monetary donation. Please prayerfully consider how you can support the `Q'!

EASY ONLINE PLEDGE FORM

Last Name: _______________________________ First Name: ________________________________________ Address: _______________________________________ City: ______________________ Zip: ___________________ Phone #: (_____) _________ - _____________ What year were you born in? ____________ (for statistical purposes only)

I pledge my support in the following way... One Time Pledge of: $______________

Would you like this to renew at future Q-Drives? YES NO

Monthly Pledge of: $_____________ Would you like this to renew at future Q-Drives? YES NO

Pledges that are automatically renewed can be discontinued at any time simply by calling our business office. Are you currently a Q-pledger?

Would you like to increase your pledge?

One Time Pledge from $____________ to $____________ Monthly Pledge from $____________ to $____________

Q-Club Member = $162.00/one time or $27.00/month

(circle one)

Would you like this to renew at future Q-Drives? YES NO

Full Day Sponsor = $450.00/one time or $75.00/month Would you like this to renew at future Q-Drives? YES NO

(circle one)

Half-Day Sponsor = $228.00/one time or $38.00/month Would you like this to renew at future Q-Drives? YES NO

(circle one)

How you would like to pay for this donation:

____ I will send my payment in the mail.

____ Through the monthly auto-withdrawal program from my checking or savings account. (We will contact you for account details.)

Mail this pledge form to: Q 90 FM 1253 Scheuring Road Suite B DePere, WI 54115

If you choose to automatically renew, you do not need to call-in during Q-Drive.

Thank You for Your Continued Support!

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