KGNM 1270 AM > Sharathon 2003 > Pre-Sharathon Pledge Form

Required Information

First Name(s): (i.e. John and Jane)
Last Name:

Address Line 1:
Address Line 2:

City: State Zip

Home Phone: Work Phone:

E-mail Address:

One-Time Gift (Do not include the $120 you'll give per day sponsor)
$
Apply gift toward Maestro computer purchase only

Monthly Gift (Amount you'll give per month for 12 months)
$

Days are first come, first serve! If your day is already taken, KGNM will contact you by phone!
Day Sponsorships are $120 per day sponsored. On the day you sponsor you will receive a 15-second announcement once per hour from 6am-midnight recognizing you as the Day Sponsor and the reason for which you are sponsoring that day (example: it's our 23rd wedding anniversary.)

Day Sponsor 1

Check here to acknowledge your $120.00 gift

Month Day: Year:

Reason/Occasion:

Day Sponsor 2

Check here to acknowledge your second $120.00 gift

Month Day: Year:

Reason/Occasion:

Day Sponsor 3

Check here to acknowledge your third $120.00 gift

Month Day: Year:

Reason/Occasion:

Print This Page