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  Public Broadcasting Donation Form
 
Please use this form to make a pledge to CMU Public Broadcasting. All fields marked with an asterisk (*) must be filled in for proper processing of your donation.


CMU Public Broadcasting

1999 East Campus Drive
Mt. Pleasant MI 48859 
Telephone 1-800-727-9268
Fax (989)774-4427

Your Personal Information

* Last name:
* First name:
Middle name or initial (if any):
* E-mail address:

Your Home Address

* Address:
* City:
* State:
Country (if other than USA):
* ZIP code:
* Daytime phone (with area code):

Gift Information

* I am making a gift in the amount of: $
Please tell us where you'd like your gift to be used.
TV Operations $
Radio Operations $
TV Equipment Endowment $
Radio Equipment Endowment $
Will this gift be matched by a matching gift company? Yes No
   

Payment Information

I wish to pay for my contribution as indicated:

Credit Card (When you click 'Next' button below you will be directed to the credit card screen for processing.)

Please send me a bill and return envelope in the mail. (When you click 'Next' button below your information will be sent to station personnel who will send our your bill and return envelope right away.
   
   
Additional comments.

Telephone (989)774-3105



Central Michigan University, Mount Pleasant, Mich. 48859
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