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WEMY Fundraiser Pledge Form

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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?	WEMY 91.5 FM Green Bay WEMY 95.5 FM Two Rivers
What are THREE things you enjoy listening to on WEMY-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

Please fulfill your pledge before May 31, 2012. Thank You!

One Time gift $
Monthly gift $ /mo
TEAM360 monthly donation of $30, continuing until further notice.
Day Sponsor - $600

WEMY-FM may continue my pledge at this amount until further notice.

The date(s) I would like to sponsor are
Please select dates between June 1, 2011 and May 31, 2012.

Comments or prayer request

Please fulfill your pledge before May 31, 2012.

We are a proud

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