89.7 KSGN - Make It A Challenge!

Please note that changes made here do not go into effect immediately, but may take 1 to 3 business days.

Please update (select all that apply)'

Personal Info

Cancel or change gift amount of existing recurring gift

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Gift Detail

Amount I currently give

Total Amount I will now give

Amount

A Challenge Gift encourages others to join you in giving by asking them during an onair fundraiser to match your gift.

Allow this gift to be offered as a Challenge Gift?

Yes

Personal Info

Donor ID (if you have it)

First Name *

(optional) Middle Name

Last Name *

You may thank me by first name on the radio

Yes

Thank publicly by this name...

Phone *

Billing Street *

Billing City *

Billing State *

Billing Postal *

Payment Info

Payment Method

Credit/Debit

Bank Draft

A donation of more than $ using this method will be declined. You can donate more using this method by submitting multiple donations less than $ each.

Account Number

Expiry Month

Expiry Year

CCV

Mailing address Zip Code matches card billing Zip Code?

Yes

Billing Postal

Routing Number

Bank Name

Name on the Account

Account Type

Checking

Savings

Start date for recurring gift (and same day each month after)

If you selected today as your first gift date, your first gift will be processed overnight. If you provided an email address, you will receive an email receipt tomorrow.

Missed Gifts to Make Up

Why I'm giving...

Please contact me by...

SMS

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Special offer

With my gift of $40/mo (or single gift of $480) or greater, I understand that I can receive a HOPE T-shirt!

My choice is...

By submitting this form you authorize 89.7 KSGN to electronically debit your account on the specified schedule (once or recurring) and, if necessary, electronically credit your account to correct erroneous debits. To revoke this authorization, contact a donor representative directly at 888-897-5746.

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