Membership Form - Gen Menb-$60-Monthly - $5.00

Donation Information

Amount:

Monthly

$ 5.00

Other

Your support makes a difference

Thank you for choosing to support WVPE with a monthly gift. Your membership dollars will go further this way to support the programs you depend on every day. Please make sure that the frequency box is checked as monthly when making your gift.

Type of gift:

Recurring gift

Frequency:

On:
Starting: Ending:

WVPE welcomes your comments.

Thank you Gift $60:

No gift for me. Please use 100% of my gift for programming.

WVPE ANNIVERSARY COFFEE MUG

Are you a current member of WVPE?:

Billing Information

Title:

First name:

Middle name:

Last name:

Country:

Address lines:

City:

State:

ZIP:

Phone:

Email:

Payment Information

Cardholder's Name:

Credit Card Number:

Card Type:

Card Expiration:

Card Security Code:

Matching Gifts

My company will match my gift

Additional Security

This is a security measure to help prevent fraud.

WVPE will read your name on-air and thank you for your support unless you tell us otherwise in the comments section above. If you have any questions please call Membership Manager Tom Sibal at 574-262-5823.