KPVU 91.3 FM
Are you a
INDIVIDUAL MEMBERSHIP LEVELS
What level would you like to pledge today?
$15 Student Level (Photo Mouse Pad)
$35 Level (Water Bottle)
$65 Level (KPVU Specialty Tote)
$91.30 Level (T-Shirt/Cap)
$150 Level (Golf-Sized Umbrella)
BUSINESS/ORGANIZATION/CHURCH UNDERWRITING PACKAGE LEVELS
$250 Level - Contributing Sponsor (10 spots)
$365 Level - Dollar-A-Day Sponsor (16 spots)
$500 - Gold Level Sponsor (30 spots)
$1000 Purple Level Sponsor (70 spots)
$2000 Royal Purple & Gold Sponsor (165 spots)
Special Premium Item
Total Amount Pledged
Donation Amount other than membership level
May we announce your name on the air?
What is your music preference?
What is your birth month and day
For Prairie View A&M University Employees:
Would you like to have your membership taken out by Payroll Deduction?
Total Monthly Contribution
X 9 Months
X 12 Months
Work Phone Number
Where should we send the Payroll Deduction form
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