Please Support the Great Experiment Spring Fund Raiser!
Pledge here and enjoy guilt-free listening.
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If you would rather telephone your pledge, call 1-800-723-4657
during business hours (8am - 5pm, M-F).
 These items are required
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| Information About You |
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Salutation |
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First
Name |
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Last
Name |
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Address |
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City |
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State |
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Zip
Code |
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Home
Phone
(use format
620-662-6646) |
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Email Address |
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Have
you recently changed your
address or phone number?
No
Yes
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New or Renewing Membership
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New |
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Renewal
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| Your Pledge |
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$ 1,000 Leadership Circle |
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$ 500 Personal Underwriter |
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$ 365 Day Sponsor |
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$ 250 Golden Listener
(If selecting a sweatshirt, please see
the comment box
at the bottom of this page for sizing.) |
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$ 120 Family |
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$ 60 Individual |
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Other Amount
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| Your Pledge Payment Method |
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Note: Monthly automatic bank withdrawals are only available
for $120 gifts or greater |
| Credit Card Information (if paying by credit card) |
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Name
on the Card
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Card
Type
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Credit
Card Number
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Expiration
Date Month
Year
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Note: Your credit card information is transmitted securely to our server.
Radio Kansas does not keep Credit Card Information.
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If you wish, please
share how you use Radio Kansas.
If you are a Golden Listener, please indicate that you want
the sweatshirt and the size (med, lrg, XL, 2XL, 3XL or 4XL).
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