Secure Donation Form

This form is for individual memberships
or additional gifts.

Business,Professional & Non Profit Members

Please go to our
Business, Professional & Non Profit Member Form

To set up a PET MEMBERSHIP, please go to our
TPR Pet Members Form

If you have any questions about this form or making a pledge to TPR, you can reach us at 1-800-622-8977.

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

Your Pledge
Would you like to make a Recurring Sustaining Pledge?
Sustaining pledges are charged on an ongoing monthly basis.
To make a one-time gift, including any discounted gift, choose "No" above.
Specify amount without dollar sign.
$40 discounted rate for one-time donations only
Personal Details
May we announce your name(s) on air?
Thank you Gift
If you wish to use E.F.T., you may provide your information below or download our form and submit by mail.
Credit Card Information
Format MM/YY
Electronic Funds Transfer
Please include slash marks (/) before and after your name. No middle inital.
To confirm you have read our EFT Agreement for ongoing bank debits, please enter your name above in the format of /First Last/
Comments
Which station do you listen to primarily?*
Any thoughts you want to share?
Please validate above