Sharathon 2003 Standing on the Promises of God!

Yes! Here is my pledge . . .

I listen to:
    WEMI 91.9 and 101.7 FM
    WEMY 91.5 FM

 First Name: Required
  Last name: Required
     Address: Required
           City:   State:   Zip: all 3 Required
        Phone:
       E-Mail:

I would like to pledge:
    One Time              Amount:
    Monthly                 Amount: per month
    Day Sponsorship    Amount: $600.00 (to be paid by 05/31/2004)
                The Day I would like to sponsor is:

If you would like to sponsor more than one day, enter the days in the comments section near the end of this form. We will contact you about any date conflicts.

Have you contributed to Christian Family Radio before?
        Yes    No Required

What is your age range? (check only one)
        under 18
        18 - 24
        25 - 34
        35 - 44
        45 - 54
        55 - 64
        65+

When do you most often listen to Christian Family Radio?
        6am - 10am            (Check all that apply)
        10am - 3pm
        3pm - 7pm
        7pm - midnight
        mid - 6am
        all

Where do you worship?
Church Name 
  In what city?
We are presuming in the state of Wisconsin. If not, enter the state WITHOUT a comma, please.

What three (3) things do you enjoy listening to?
       
       
       

Do you have any prayer requests, comments, testimonies or favorite Bible promises? We'd love to hear from you! Enter them below:

Credit Card & Electronic Fund Transfer is available.
     For Credit Card payment, call our office at 920-749-9364.
     For Electronic Fund Transfer information, click here.

When you have completed this form, click the "Pledge" button below . . . and Thank You so very much!!

If you have any questions on how to fill out your pledge form, please call us at 920-749-9364 or 800-236-9364 during regular business hours (Monday - Friday, 7:30am - 4:30pm). Our Privacy Policy is short and sweet: we do not share your information with anybody.

Last updated on 05/30/2003