Invoice Request for a Secure Pledge by Check or ETSU Payroll Deduction

Submitted by adminkpb on Tue, 2010-04-06 18:58

Use the below form to request an invoice to be sent to you for making a pledge to WETS-FM. Thank you for your interest.

Contact Information

First Name: *

Last Name: *

E-Mail Address: *

Street Address: *

City: *

State: *

ZIP Code: *

Telephone Number: *

Pledge Information

Total Pledge Amount: * $

Pledge Frequency: *

We will remind you when your next charge is due.

Pledge Payments:

If your pledge is being paid in payments, how much per payment?

Payment Method: *

Check (We will send a return envelope)

ETSU Payroll Deduction

Other Information

First Time?:

Yes

Is this your first pledge to WETS?

Name Mention?: *

Yes

May we use your name on the air? We never broadcast pledge amount - only name and hometown.

Comments/Questions?:

We value your input and opinion. Please share with our staff any thoughts or questions you may have.

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