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MEMBERSHIP FORM 2007 – 2008
Summit Public Radio is a
nonprofit organization that rebroadcasts selected NPR and commercial radio
stations and antenna TV to Summit County
Name
____________________________________________________ Date __________________
E-Mail
Address**___________________________________________ Local Phone
____________
US Post
Office Mailing Address _________________________________________________________
Yes, I
want to support SPR with a Tax Deductible Contribution:
□ Tower
Supporters ($1 - $99) □ Wavelength Boosters ($100 - $249) □
Antenna Angels ($250 or more)
□ My employer has a matching
gift program; paperwork enclosed.
Please make check payable to
“Summit Public Radio”
Mail to P.O. Box 6392,
Breckenridge, CO 80424
Cut
out this form and send in with your donation. Thanks!
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