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Membership Donation Form
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MEMBERSHIP DONATION FORM

After completing the KWBU Annual Membership Donation Form, please click the Submit button at the bottom of the page to review your submission. If you have any questions about your registration, contact Loretta Howard at 254-710-7887 or by email at loretta@kwbu.org for assistance.

Anyone who signs up at the average annual membership amount of $100 or more will be eligible to receive our KWBU Member Discount Card and a year subscription to Newsweek magazine!



CONTACT INFORMATION
First Name:
Last Name:
Street Address:
City:
State:
ZIP:
Contact Telephone:
Email:
DONATION INFORMATION
Gift Amount:

Were you referred by anyone? No Yes

If yes, who referred you?


Do you want to be thanked on the air? Yes No
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