WLRN Pledge

WLRN Channel 17

Method of Payment

Charge my credit card a one-time payment
Withdrawl monthly EFT payments - the best way to go
Withdraw a one-time EFT payment
Bill me a one-time payment
Charge my credit card monthly payments until instructed to stop

Pledge Amount

How much would you like to donate?

$ 60.00
$ 120.00
$ 150.00
$ 250.00
$ 500.00
$ 1,200.00 Circle of Friends Membership
Other Amount

Please specify amount:

Some employers match charitable contributions. Enter employer's name to see if company is listed. Once selected, follow the steps in the confirmation email to double your donation.

|||||Circle of Friends Membership|

Contact Information
Please provide us your contact information as it appears on your bank or credit card statement.

First and Last Name

Address

City

State/Prov

Zip/Postal

Phone Number

Email Address

All fields with a green diamond are required fields. To receive an email confirmation of your pledge, please provide an email address.

Billing address must match credit card and/or banking information.

Additional Information
What inspired you to donate today?
Note: Due to security enhancements when you donate with a credit card, you will be prompted to enter your credit card number, expiration date, and the security code (3-4 digits located on either the front or on the back of your credit card) after clicking "Continue" below.

Please answer the question below then click continue.

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