WSLR · 2024 Fall EVERGREEN Membership Form

Make your Membership EVERGREEN!

By donating monthly you provide on-going, sustainable support to WSLR. *

Our radio programs, live concert schedule, art and educational events are all made possible through your membership support. You can review Membership Benefits here.

Join WSLR+Fogartyville in one of two ways - with an Evergreen membership below or by making a one-time donation.

WSLR Inc. is a tax-exempt organization under Section 501(c)(3) of the Internal Revenue Code. Contributions are tax-deductible to the extent permitted by law.

A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE WITHIN THE STATE AT 1-800-HELP-FLA (435-7352), OR OUTSIDE OF FLORIDA AT (850) 410-3800. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE. OUR REGISTRATION NUMBER IS CH 18110

Donation Amount each month *

$5 - Friend

$8 - Radio Activist

$10 - Supporter

$20 - Fan Club

$42 - Advocate

$83 - Partner

$208 - Music Lover

$417 - Steward

Donation Schedule

Contact Information

Name *

First Name

Last Name

Email *

Verify Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

I support the following programs at WSLR+Fogartyville: (Specific Show Options will appear when you click On-Air Music Shows and News & Public Affairs)

Everything

Fogartyville Events

Music Shows --- Select Your Favorite Shows

News & Public Affairs Shows --- Select Your Favorite Shows

Can we thank you on the air? *

Yes

No, I prefer to remain anonymous.

I agree to receive email and SMS updates from WSLR+Fogartyville (Standard message and data rates may apply) *

Yes

Volunteer Name

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

Date

(mm/dd/yyyy)

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