WSLR · Monthly Membership Form - Help Power WSLR 96.5 LPFM/ Fogartyville Community Media & Arts Center Copy

Join The Tribe!

Recurring Membership Form

Our radio programs, impressive live concert schedule, art and educational events are all made possible through your membership support. You can review Membership Benefits here. By becoming a member of the TRIBE your membership renews automatically every year.

Membership Level

$5 - Friend ($60/year)

$10 - Supporter ($120/year)

$20 - Fan Club ($240/year)

$42 - Advocate ($500/year)

$83 - Partner ($1000/year)

$208 - Concert Lover ($2500/year)

$417 - Steward ($5000/year)

Contact Information

Name

First Name

Last Name

Phone

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

I am a

New Member

Renewing Member

I support the following programs at WSLR+Fogartyville:

Everything

Fogartyville Events

LOCAL On-Air Music Shows

Radio News & Public Affairs Shows

Can we thank you on the air?

Yes

No, I prefer to remain anonymous.

Comments:

Volunteer Name

If you are a volunteer entering phone donations, please enter your name in case there are any questions.

Show Code Entry

Add 3% to my total amount to help cover the payment processing fees