Check/Money Order Donation Form

* Name

* Address (Street)

* City

* State

* Zip Code

* Phone Number (xxx-xxx-xxxx)

* Email

Did You Donate Last Year?
Yes

* Donation Amount $

* Department

DJ/Show Name/Time Slot (optional):

You would need to donate double the minimum pledge amount for two of that premium. Example: To get two mugs and hats, you would have to donate $50.

If you do not see a "Thank You" message after you click the "Donate" button, the form did not send. Please hit the "Back" button in your browser and click to send it again.

Script by Dagon Design

Note About Premiums

We can only offer premiums for donations during Radiothon.