Friends of WRR · 2019 Fall Membership Drive

Name

*

First Name

Last Name

Spouse/Partner Name

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Email

Verify Email

Organization/Employer

Please include if your company offers matching gifts.

Is this a Memorial or Honorary Donation?

Memorial

Honorary

Please be sure to fill out the "Name" and "Email" fields with the info of the person you giving as Honorary.

Memorial: In name of

First Name

Last Name

Memorial: Please give an address if you would like a mailed memorial letter

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Amount

*

$1,000

$500

$250

$101

$50

$25

$

Donation Schedule

Continue donating until

(mm/dd/yyyy)

Scholarship Fund

If you would like to designate a portion of your donation to the Scholarship Fund, please write in the amount here.

101.1 WRR Newsletter

Please sign me up for the 101.1 WRR Newsletter in addition to the Friends of WRR Newsletter

Announce your name on air?

*

We would very much like to recognize your donation live on the air. We will only mention your name and city.

Yes

No

Would you like to receive your Friends of WRR Flair Lapel Pin?

*

If you donate at the $101 Signature Level you will receive all 4.

Yes

No

Would you like to receive your Friends of WRR T-Shirt?

*

If you are a new Member, would you like to receive your Friends of WRR Tote Bag?

Yes

No

Would you like to receive your $250 Level Gift?

*

DVOŘÁK’S SYMPHONY NO. 9 “FROM THE NEW WORLD” CD

Yes

No

Would you like to receive your $500 Level Gift?

*

RACHMANINOV’S THE PIANO CONCERTOS

Yes

No

Would you like to receive your $1000 Level Gift?

*

DALLAS SYMPHONY ORCHESTRA, THE EDUARDO MATA YEARS, 6-CD SET

Yes

No

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