Pledge To RSU Public TV - Step 2 of 2

Mynxx Optima Geneva Helvetica

Lucida Georgia Trebuchet Palatino

SpringFest 2010

Please fill out the information below to submit your pledge. To ensure the security of our viewers confidential credit card information, someone from our membership department will contact you by telephone regarding credit card and other sensitive information. Thank you.

Mandatory *

Total Pledge Amount *

Field not valid (required or bad value)

Gift Code (Red 4-Digit Code) Your total pledge amount must be equal to or higher than the amount of the pledge gift requirements. Please only one gift per online pledge submission. Leaving this field blank will result in your entire pledge being directed towards programming.

Field not valid (required or bad value)

How would you like to pay? * A staff member of RSU Public TV will contact you regarding any confidential financial information. No credit card information will be submitted online.

Field not valid (required or bad value)

First & Last Name *

Field not valid (required or bad value)

Shipping Address *

Field not valid (required or bad value)

City *

Field not valid (required or bad value)

State *

Field not valid (required or bad value)

Zip *

Field not valid (required or bad value)

Phone *

Field not valid (required or bad value)

Email Address *

Field not valid (required or bad value)

Are You Currently A Member of RSU Public TV?

Age (Optional) This information helps us in determining our viewing audience and is completely optional.

Can we thank you on air using just your first name and no dollar amount? *

Field not valid (required or bad value)

© Copyright 2009, All Rights Reserved