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Pledge on Line

You can donate/pledge in any of the following ways: 1. To pledge your support on-line, please fill in the form below and click the Submit button. 2. To charge on-line with your Debit or Credit Card, click the donate button: 3. Electronic Fund Transfer (EFT): Electronic fund transfer is withdrawn directly from your checking or savings account on or after the 10th of each month. If you would like to make a pledge of support and fulfill it via EFT, please (1) fill out and submit the pledge below, and ALSO click here for the EFT authorization form which you’ll need to (2) print out, (3) complete and (4) return to us. * Designates a Required Field Salutation * Mr    Mrs    Ms First Name * For Example: James -or- James & Elizabeth Last Name * Click here if you don't want your name read on the air. Year of Birth * Street Address * City * State * Zip * Phone Number * XXX-XXX-XXXX E-mail Address * Confirm e-mail address *   My Sharathon Pledge is One Time Pledge of $ $60 ($5 per month) $120 ($10 per month) $180 ($15 per month) $240 ($20 per month) $360 ($30 per month) $600 ($50 per month) - Day Sponsor $720 ($60 per month) $1,200 ($100 per month) - 2 Day Sponsors Other pledge amount per month   The date(s) I would like to sponsor are Please select dates between June 1, 2009 and May 31, 2010. If dates are no longer available we'll contact you to select another. If you wish to sponsor two or more days, enter them in the Comments section below. I will pay my pledge via Check           The address will be on the next screen. EFT           Print, fill-in and mail the form available on the next screen. Credit or Debit Card           Complete this form, click Submit and choose Credit or Debit Card on the next screen. Please fulfill your pledge before May 31, 2010. Thank You!