91.3 WVUD, The Voice of the University Delaware

WVUD PLEDGE FORM

Thank you for your pledge!

To pledge via the World Wide Web, just complete and send this form. Please answer all of the appropriate questions. If you enter an email address, we'll confirm your pledge via email. We'll make sure that you receive your premium, and credit your pledge to your favorite WVUD program. With your permission we'll acknowledge your pledge on the air. If you have further questions please contact us at (302) 831-2701 or via email WVUD@mvs.udel.edu

Have you ever pledged to WVUD before? Yes No

Please answer the following questions.

Title: Miss Mr. Mrs. Ms. Dr.

First name:
Last name:
Address:
City: State: Zip Code:
Phone number (with area code):
Day: Evening:
email address:

What amount would you like to pledge?

$15 (student and senior citizen) $35 (basic membership) $50 $100
other (please specify)

How would you like to pay for your pledge?

Please send me an invoice. Please let me use a credit card.

If you wish to pay using a credit card, please print out a copy of this form and send it
via"snail mail" to the address at the bottom of this form. Please include your card number
and expiration date.

Master Card VISA Discover

Sorry American Express is not accepted.

What premium would you like?

If you accept a premium, the amount of your contribution that is deductible for Federal Income Tax purposes is limited to the excess of your contribution over the value of the goods and services received.

What show/s would you like to receive credit?


Would you like to make a comment with your pledge?


WVUD
University of Delaware
Perkins Student Center
Newark, DE 19716
voice: 302.831.2701 fax: 302.831.1399
* University of Delaware Homepage. *WVUD Homepage