Spring2017 To make a tax deductible donation to WESUComplete and return this form along with your check money order or credit card information to WESU RADIO 45 Broad Street 2nd Floor Middletown CT 0 ID: 873773
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1 Spring 2017 Pledge form To make a t
Spring 2017 Pledge form To make a tax deductible donation to WESU: Complete and return this form along with your check, money order, or credit card information to: WESU RADIO 45 Broad Street 2nd Floor Middletown, CT 06457 You can also make a secure echeck, debit, or credit card donation online at www.WESUFM.org Please enter your gift amount here [ ] Check or Money Order (payable to WESU) [ ] Credit card (please provide info below) First and Last Name : Mailing address Phone : CC type: Exp. Date: CC #: Email address: 3 digit security code on back of card: If this donation is in support of a specific programming, please tell us here: Choose your li mited edition WESU thank you gift (s)view the items online at www.wesufm.org/pledge ty ledgeamount Premium Description Please indicate size(s) Do not send a thank you gift. I want my entire donation to support WESU! $35 - “Mystifying Oracle ” – New! white ink on black shirt [ ] SM [] M [] LG [] XL [] XXL $35 Tee Shirt B) - ( Blue ink on heather/gray shirt ) [ ] SM [] M [] LG [] XL [] XXL $50 Tote bag - Black and white ink on natural white $65 Baseball cap - White embroidered on navy Blue [ adjustable one size fits all ] $75 Hoody sweatshirt - White ink on black - Zippered ] SM [] M [] LG [] XL [] XXL $5 ** Please consider including an extra $5 to help cover shipping handling expenses If you would like a thank you gift that you’ve heard about that isn ’t listed on this form, please describe it Tee Shirt A) $35 “Mystifying Oracle” White ink on black shirt Tee Shirt B) $35 Blue ink on heather/gray shirt onesided Tote/Record bag $50 Black and whiteink on natural white canvas Base ball cap $65 White embroideryon Navy Zippered Hoody Sweatshirt$75 White ink on Black Graphic printed over left breast