Would you please help us by the answering the following questions before making your pledge? These questions, asked every year, help us better understand you and your listening habits and help us make more informed programming decisions. This information is never shared with any other organization, it remains strictly in-house.

First Name(s)	* Required For example: James -or- James & Elizabeth
Last Name	* Required Click here if you don't want your name read on the air.
Address	* Required
City	* Required
State	* Required
Zip	* Required
Phone	* Required This is my Home Phone Cell Phone (select one)
E-Mail	* Required Click here if this a new or updated e-mail address

Type of pledge you wish to make:

	Pledge	$ Enter the dollar amount.
	Monthly Pledge	$ Pledge per month.
	Day Sponsor ($540)	Enter the date you would like. If you would like to sponsor more than one day, check here and enter the dates in the comment section below. We will call you if any date is not available.

Pledges may be fulfilled in installments. Please fulfill your pledge by October 31, 2008.

Payment Options:
After clicking the "Click here to submit . . ." button below, payment options will be listed including cash, check, money order, electronic fund transfer or credit / debit card.

Blessed by His Name? Please tell us about it!

When you have completed this form, click the button below . . . and Thank You so very much!! May you continue to be a "Blessing to" and "Blessed by The Name!"

If you have any questions on how to fill out your pledge form, please call us at 715-457-2988 or 800-236-0885 during regular business hours (9:00am - 4:00pm). Our Privacy Policy is short and sweet: we do not share your information with anybody.