Web Monthly Pledge Set Up Form

WVTF Sustainer Upgrade Form

Thank you for using our sustainer upgrade form to update your current monthly gift. Your ongoing support is greatly appreicated! Convert your monthly credit card or check donations to EFT and receive a free WVTF & Radio IQ 50th Anniversary T-Shirt!!

Please complete the following form. Fields marked * are required.

Personal Details

*First Name

*Last Name

Spouse/Partner First

Spouse/Partner Last

*Street 1

*City

*State

*Zip Code

*Email

We need a valid e-mail address to send an automatic copy of your receipt for tax purposes.

*Daytime phone

Monthly Pledge Upgrade

UPGRADE my existing monthly pledge by this

$60 $90 $120 $150 $180 $240 $300 $500 $1,200 Other

Other amount

Please enter an amount here

MONTHLY UPGRADE AMOUNT

$5 $10 $15 $20 $25 Other

Please Specify the amount per month to UPGRADE your existing pledge

MONTHLY UPGRADE AMOUNT

Credit card information is collected securely by Paya Payment Solutions.You will be redirected to this page for your card information after you submit your pledge. Select "Use Current Method" to continue using the method of payment we have on file.

*Payment Method

EFT Credit Card Use Current Method

Please choose a payment method

Electronic Funds Transfer

Bank Routing Number

Bank Account Number

Savings Account?

Yes No

Electronic signature

To confirm you have read our EFT Policy and agree to ongoing bank debits, please sign above in the format of /First Last/

EFT Conversion Thank You Gift

50th Anniversary Gold T-Shirt

50th Anniversary Blue T-Shirt

Donor Account-Pledge Number and Comments

If you know your donor account and pledge number please enter here. If you are requesting a thank you gift with your upgrade please indicate that here also. Thank you.

...and anything else you wish to pass along to us.

Errors above, please check and submit again

WVTF Sustainer Upgrade Form

Thank you for your patience as we process your pledge. Hootie Hoo

Thank you for your continued support