Texas Public Radio 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
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 initial.
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