Sharathon Pledge Form

Thank you for joining with us
to spread the Good News of Jesus Christ around the world!

Donations are tax deductible as allowed by law.

Please Read:
If you are under 13, you may pledge by calling 580-767-1400 or 1-800-FAITH88.
Please have a parent available to speak with the volunteer when you call.

Please choose one ...
     Making a new pledge for 2011 (or renewing last year's pledge)
     Correction of a 2011 pledge
     Increase of a 2011 pledge (not from last year)

Please enter Business Name only when pledging for your business.

Business/Organization Name:

I want to be
a Business Team Member

(minimum $50 per month or $600 per year pledge)

Business Website:

Name

First and spouse's name Last Name
if applicable

Address

City, ST ZIP

Country

Phone Number
Area Code-xxx-xxxx

E-Mail Address

Age

Has any of your
contact information changed?

Yes No

Have you ever given to The
House FM / My Praise FM before?

Yes No

Which do you listen to more?

The House FM My Praise FM

Which frequency do you listen to?

Please enter your pledge
12 Monthly Gifts of $ Single Gift of $ (Numeric Only) (Numeric Only)

Points	Monthly Pledge	Single Pledge	Days to Sponsor on House or Praise
1	$15/mo.	$180.00	0
2	$30/mo.	$360.00	0
3	$45/mo.	$540.00	0
4	$60/mo.	$720.00	0
5	$75/mo.	$900.00	1
6	$90/mo.	$1080.00	1
7	$105/mo.	$1260.00	1
8	$120/mo.	$1440.00	1
9	$135/mo.	$1620.00	1
10	$150/mo.	$1800.00	2
15	$225/mo.	$2700.00	3
20	$300/mo.	$3600.00	4

Please select gifts below:

I don't want any gifts

Place mouse over yellow areas to see a picture of that item.

Men's T-Shirt 1 Point
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Ladies' T-Shirt 1 Point (runs small)
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Men's House Sweatshirt 4 Points
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Ladies' House Sweatshirt 4 Points
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Men's Praise Sweatshirt 4 Points
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Ladies' Praise Sweatshirt 4 Points
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ChicoBag
1 Point

Quantity

Flash Drive with Hit songs included
2 Points

Quantity

Focus on the Family CD
1 Point

Quantity

I've used all the points I want to

Choose a date for "Sponsor of the day".
Or to choose later, call 580-767-1400 or 1-800-FAITH88

	House	Praise
Day 1
Day 2
Day 3
Day 4

*Please use a different line for each day you choose.
Dates not listed are not available

Matching Donations
Do you work for, or are you retired from, a company that matches donations - like ONEOK or ConocoPhillips?	Yes No Company Name

Stock Donations
Would you like information on the added tax benefits and process of donating stock to fulfill your pledge?	Yes No
Click here for printable information about stock donations.

The Continuous Pledging Option (CPO). Many callers are yearly contributors to the ministry. If you sign up for the CPO this year, in future years when it's time for Pledge Drive, we'll automatically add your pledge amount. You will be able to call and change your pledge amount at any time. You will also be able to call to select appreciation gifts. By taking part in the CPO, you help the ministry with a strong start to next year's pledge drive, because we know that we can count on you.

Sign me up for the "Continuous Pledging Option".
I understand you will automatically re-enter my pledge in future years.

Why did you pledge? Do you have any comments
about our radio ministry?

We'd love to hear them and maybe
share them on the air!

( You may enter up to 600 characters. )

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Please review your pledge
before clicking Submit.

Thanks for pledging and supporting Christian radio The House FM / My Praise FM