Sustaining Monthly Donation

KUAC Friends Group

Sustaining Monthly Donation*
Please choose a set amount above, or select Custom Amount to choose your donation amount.
You choose your monthly amount:*

Minimum: $10/month.
Would you like a thank you gift?
- No, thank you. I'd like my entire contribution to support KUAC.
- Yes, please. I'd like to receive the KUAC Sustaining Donor T-Shirt.
Please choose your T-Shirt (Less Benefit Value $20.00) size
- XXS
- XS
- S
- M
- L
- XL
- XXL
- XXXL
- XXXXL
May we thank you on-air and in print?
- Yes, acknowledge me!
- No, I wish to remain anonymous.
Have you ever given to KUAC?
- Yes
- No
Are you making your gift in honor or memory of someone special?
- Yes
- No
Please tell us who you are making this gift in memory/honor of and why in the box below. Who should we notify about your thoughtful donation to KUAC?
What inspired you to give today?
This donation is being made by an:*
- Individual
- Organization
Name*
First Last
Spouse/Partner Name
First Last
Email*
Phone
Would you like to subscribe to KUAC eNews?
- Yes
- No
- I already do
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Organization*
Name*
First Last
Email*
Phone
Would you like to subscribe to KUAC eNews?
- Yes
- No
- I already do
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
How would you like to be billed?
- Credit/Debit Card
- Checking account
Credit/Debit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Full name on checking account:*
Name of institution:*
Account number:*
Routing number:*
When would you like to receive your receipt(s) from KUAC?*
- Consolidate my receipts into 1 year-end receipt
- Acknowledge each gift separately
How would you like to receive your receipt(s) from KUAC?*
- Receive via email
- Receive via US Mail
Please tell us why you listen, watch or what you love about KUAC.
Please check the box below:
Comments
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Fairbanks PO BOX 755620
1718 Tanana Loop, Suite 202
Fairbanks, AK 99775-5620.
Phone: 907.474.7491 Fax: 907.474.5064

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