|
Name
_________________________________________________________________________________
Address
_________________________________________ City _____________ ST ______
ZIP _______
Home
Phone _____________________________ E-mail ________________________________________
I
will support KOCV-FM at the following level:
| [ ] $200 |
[ ] $150 |
[ ] $120 |
[ ] $100 |
[ ] $75 |
[ ] $40 |
[ ] Other ________________ |
| |
For gifts of
$75 or more please choose |
[ ] KOCV-FM
Mug |
[ ] FM 91.3
LOGO T-Shirt |
| [ ] Check Enclosed |
Please bill
to my |
[ ] AMEX |
[ ] Discover |
[ ] MC |
[ ] VISA |
| (Payable to
FM 91.3) |
Account No.
____________________ |
Exp. __________ |
We
enjoy the following KOCV-FM programs (Check all that apply)
| [ ] Morning
Edition |
[ ] All Things
Considered |
[ ] A Prairie
Home Companion |
[ ] Car Talk |
| [ ] Talk of
the Nation |
[ ] Fresh Air |
[ ] Classical
music |
[ ] Book Guys |
| [ ] Opera |
[ ] Jazz |
[ ] Blues |
[ ] Celtic |
| [ ] Folk |
[ ] Bluegrass |
[ ] World Beat |
|
| [
] Other ________________________ |
|
Please
mail to KOCV-FM * 201 W. University * Odessa, TX 79764
Thank You!
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