Public Radio Pledge Form

Thank you for visiting Blue Lake Public Radio’s pledge page.  Listener contributions like yours remain our primary source of support in providing premium-quality Classical, Jazz, and NPR programming, 24 hours per day, 7 days a week.  Please select the contribution level of your choice – and thank you for doing your part to guarantee listener-supported Blue Lake Public Radio thrives!

First Name
Last Name
Address
City
State / Zip Code   
Daytime Phone #
E-mail
Employer

I would Like to Pledge...

$ 75
$ 100
$ 195
$ 275
$ 365
$ 500
 Other
Pledge Amount: $
(Please only enter whole Dollar amounts)

New Member
Membership Renewal


Premiums

Please Don't Send Me a Premium

$100 - 2015 Summer Arts Festival Events Pass

$195 - Day Sponsorship
         Preferred Date:
                 Occasion:

$275 - “Stewart Shell” nameplate
       

Special On-Air Premium:


Payment Options

Please select from the following payment options:

Please charge my credit card for the full amount

Discover     Mastercard     Visa

Card Number: 

Expiration:     

Card CVV:    What is my CVV code?


Please send me a statement for the full amount
Please send a payment booklet.
Blue Lake Public Radio will send you a coupon book for monthly payments to the address listed above.

Direct Bank Payment – no booklet required.
This must be set  up by you through your bank
Payments made to :

Blue Lake Public Radio
300 East Crystal Lake Rd
Twin Lake, MI 49457


Please bill my credit card monthly
This will be set up by Blue Lake through our bank and cannot be done online.
Blue Lake Public Radio will contact you.

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Blue Lake Public Radio
300 E. Crystal Lake Rd.
Twin Lake, MI. 49457
800-889-9258
231-894-5656