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CJAM 2009 Pledge Drive
CJAM 91.5 / 99.1 FM 2009 Pledge Drive
Pledge Donation Form
Pledge Info
*
Name
*
Phone Number
555-555-5555
*
Street Address
*
City
Province / State
Postal / Zip Code
Email
email@domain.com
*
Amount
Choose one of the following answers
$20 – Friends of CJAM card
$30 – Official CJAM coffee mug OR Official CJAM shopping bag
$50 – CJAM American Apparel t-shirt
$99.01 – Friends of CJAM card, mug, shopping bag, t-shirt + entrance into a draw for a mystery prize!
Other
Incentive Requested
*
Method of Payment
Choose one of the following answers
Cash (Bring into station)
Cheque / Money Order (Bring in or mail to station)
Visa / Mastercard (Online via PayPal)
Name of Show you'd like to support (optional)
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