KPVU Pledge Form Thank you for supporting public radio Are You A*New MemberRenewing MemberDonor Only (No Membership / Thank You Gifts)Your InformationMember Name*FirstLastMay we announce your name on the air?*YesNoPhone*EmailIndividual Membership LevelsWhat level would you like to pledge today?$15.00 Beginning Student Membership Level (Photo Mouse Pad)$35.00 Beginning Regular Membership Level (KPVU Lunch Box)$65.00 Level (KPVU Specialty Tote)$91.30 Level (T-Shirt/Cap)$150.00 Level (Golf-sized Umbrella) Note: $200 or higher, KPVU will extend the choice of gifts. Other Amount (Gift to be Determined)Business/Organization/Church Underwriting On-Air Package LevelsWhat level would you like to pledge today?$250.00 Level - Contributing Sponsor (10 spots)$365.00 Level - Dollar A Day Sponsor (16 spots)$500.00 Level - Solid Gold Sponsor (30 spots)$1000.00 Level - Purple Pride Sponsor (70 spots)$2000.00 Level - Royal Purple & Gold Sponsor (165 spots) Note: Individual Gift Levels are optional in lieu of On-Air spots Other Amount (Underwriting spots to be determined)For Prairie View A&M University EmployeesWould you like to have your membership taken out by Payroll Deduction?Total Monthly Contribution?x9 Monthsx12 MonthsTotal AmountWork Phone NumberAdditional Donor InformationWhat is your music preference?BluesCountryGospelJazzR&BOtherYour birth month? (Used for on-air acknowledgment)JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberYour birth day? (Used for on-air acknowledgement)12345678910111213141516171819202122232425262728293031Total Pledge AmountEnter the TOTAL AMOUNT that you will be contributing:* Was this information helpful? Provide Feedback or report broken links.