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91.9/91.5 The Family Pledge Form

Grace

To charge on-line with your Debit or Credit Card, click the donate button:

(No pledge form needed if using a credit card)

Pledge to the Fundraiser using the following form:

* Designates a Required Field

Which frequency do you listen to the most?	WEMI 91.9 FM Fox Cities WEMI 101.7 FM Fond du Lac WEMI 101.7 FM Ripon
What are THREE things you enjoy listening to on WEMI-FM?

Salutation *	Mr Mrs Ms
First Name *	For Example: James -or- James & Elizabeth
Last Name *	Click here if you don't want your name read on the air.
Year of Birth *
Street Address *
City *
State *
Zip *
Phone Number *	XXX-XXX-XXXX
E-mail Address *
Confirm e-mail address *

My Pledge is

Thank You!

One Time gift $
Monthly gift $ /mo
TEAM360 monthly donation of $30, continuing until further notice.
Day Sponsor - $600
WEMI-FM may continue my pledge at this amount until further notice.

The date(s) I would like to sponsor are
Please select dates between December 1, 2012 and May 31, 2013.

Comments or prayer request

Please fulfill your pledge before May 31, 2013.

Thank You!

We are a proud

The Family - Helping you build healthy relationships

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