* denotes required information
Your Donation Information:
*Pledge Type:    
*Pledge Amount:  $
Surprise Us:  $
 
Select a thank you gift or check the box and your entire contribution will support the programming on KEDT.
No thanks, I don't want a "Thank You" gift. 
Click here to select your Thank You gift and to see a description.
After you have selected your gift item, your selection will be displayed in the text box below.
 
I wish to remain anonymous. Please do not use my name on air or in print.
I wish to receive e-mail notification regarding KEDT-FM/KVRT-FM Special Programs.
 
Personal Information:
*First Name: 
*Last Name: 
*Address: 
*City: 
*State: 
*Zip: 
*Phone: 
*Email: 
Comments: 
 
Payment Information:
KEDT uses secure encryption for your protection so your credit card number is safe. KEDT will not sell, exchange or loan your membership information to any other organization. For more information, please read the KEDT Privacy Policy.
*Pay Now or Later?  Credit Card    Electronic Fund Transfer (EFT)   
*I'd like to make: 
Your Company: 
View a list of companies that match pledges.
Several companies currently provide matching monies. Your company may also match your KEDT contribution. Please contact your Human Resources Office for the appropriate form.
Card Type:  Visa MasterCard Discover American Express
Account#: 
Exp Date: 
 
When you have entered all the information, please select one of the following:
Click this button to submit your payment:
Click here to cancel: Cancel