WCLK Donation Form

I want to become a Member (Sustaining Contribution)
Click here to make a single contribution

$ 91.90 $7.66 Monthly Sustainer
$ 150.00 $12.50 Monthly Sustainer
$ 250.00 $21 Monthly Sustainer
$ 350.00 $30 Monthly Sustainer
$ 450.00 $37.50 Monthly Sustainer
$ 550.00 $46 Monthly Sustainer
$ 1,250.00 $104 Monthly Sustainer
$ 2,500.00 $208 Monthly Sustainer
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Recipient Information

Recipient First Name(s) An icon denoting this is a required field

Recipient Last Name An icon denoting this is a required field

Same as donor

ResidenceBusiness

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City

State/Prov

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Message

Remaining Characters: 120120

Recipient Information

Recipient First Name(s) An icon denoting this is a required field

Recipient Last Name An icon denoting this is a required field

Same as donor

ResidenceBusiness

Address Line 1

Address Line 2 (Apt, Floor, Suite, etc.)

City

State/Prov

Zip/Postal

Recipient Telephone

Extension

Recipient Email

Delivery Date An icon denoting this is a required field

Message

Remaining Characters: 120120

Recipient Information

Recipient First Name(s) An icon denoting this is a required field

Recipient Last Name An icon denoting this is a required field

Same as donor

ResidenceBusiness

Address Line 1

Address Line 2 (Apt, Floor, Suite, etc.)

City

State/Prov

Zip/Postal

Recipient Telephone

Extension

Recipient Email

Delivery Date An icon denoting this is a required field

Message

Remaining Characters: 120120

Recipient Information

Recipient First Name(s) An icon denoting this is a required field

Recipient Last Name An icon denoting this is a required field

Same as donor

ResidenceBusiness

Address Line 1

Address Line 2 (Apt, Floor, Suite, etc.)

City

State/Prov

Zip/Postal

Recipient Telephone

Extension

Recipient Email

Delivery Date An icon denoting this is a required field

Message

Remaining Characters: 120120

Recipient Information

Recipient First Name(s) An icon denoting this is a required field

Recipient Last Name An icon denoting this is a required field

Same as donor

ResidenceBusiness

Address Line 1

Address Line 2 (Apt, Floor, Suite, etc.)

City

State/Prov

Zip/Postal

Recipient Telephone

Extension

Recipient Email

Delivery Date An icon denoting this is a required field

Message

Remaining Characters: 120120

Recipient Information

Recipient First Name(s) An icon denoting this is a required field

Recipient Last Name An icon denoting this is a required field

Same as donor

ResidenceBusiness

Address Line 1

Address Line 2 (Apt, Floor, Suite, etc.)

City

State/Prov

Zip/Postal

Recipient Telephone

Extension

Recipient Email

Delivery Date An icon denoting this is a required field

Message

Remaining Characters: 120120

Recipient Information

Recipient First Name(s) An icon denoting this is a required field

Recipient Last Name An icon denoting this is a required field

Same as donor

ResidenceBusiness

Address Line 1

Address Line 2 (Apt, Floor, Suite, etc.)

City

State/Prov

Zip/Postal

Recipient Telephone

Extension

Recipient Email

Delivery Date An icon denoting this is a required field

Message

Remaining Characters: 120120

Recipient Information

Recipient First Name(s) An icon denoting this is a required field

Recipient Last Name An icon denoting this is a required field

Same as donor

ResidenceBusiness

Address Line 1

Address Line 2 (Apt, Floor, Suite, etc.)

City

State/Prov

Zip/Postal

Recipient Telephone

Extension

Recipient Email

Delivery Date An icon denoting this is a required field

Message

Remaining Characters: 120120

Recipient Information

Recipient First Name(s) An icon denoting this is a required field

Recipient Last Name An icon denoting this is a required field

Same as donor

ResidenceBusiness

Address Line 1

Address Line 2 (Apt, Floor, Suite, etc.)

City

State/Prov

Zip/Postal

Recipient Telephone

Extension

Recipient Email

Delivery Date An icon denoting this is a required field

Message

Remaining Characters: 120120

Recipient Information

Recipient First Name(s) An icon denoting this is a required field

Recipient Last Name An icon denoting this is a required field

Same as donor

ResidenceBusiness

Address Line 1

Address Line 2 (Apt, Floor, Suite, etc.)

City

State/Prov

Zip/Postal

Recipient Telephone

Extension

Recipient Email

Delivery Date An icon denoting this is a required field

Message

Remaining Characters: 120120

No thank you gift Please

Every Donation of $50.00 or more will receive the following:

-WCLK Member Card
-Jazz Appreciation Poster
- Weekly Jazz of The City E-Newsletter

Charge on my bank checking account monthly until instructed to stop (Sustainer)
Charge on my credit card monthly payments until instructed to stop (Sustainer)

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First and Last Name An icon denoting this is a required field

Company

Address

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City

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Zip/Postal An icon denoting this is a required field

Country

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Email Address

If you would like an email receipt/confirmation, please provide us with your email address. You will also help the station save time & money by allowing us to contact you via email. We will not share email addresses with third parties.

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Donation Summary

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I want to become a Member (Sustaining Contribution)Click here to make a single contribution

Please Choose Only One (1) Allowed Item From Selected Level. Multiple Selections of The Same Item Not Permitted. Use the Checkbox below to Opt Out if you do not want a premium.

Recipient Information

Recipient Information

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Recipient Information

Donation Summary

I want to become a Member (Sustaining Contribution)
Click here to make a single contribution