WSGE 91.7fm - Pledge Form

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YOUR PERSONAL INFORMATION

Name:


First Name*	*Middle Name*	Last Name*

Employer:

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Does Your Employer Have a Matching Gift Program?

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Daytime Phone:

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PLEDGE INFORMATION

Have you Ever Contributed to WSGE Before?

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Please Enter your Pledge amount:

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Which show do you listen to most on WSGE?

Eclectic Blend Beach/Shag

Blues All Other

May we read your name on the air?

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