90.9 FM - KTSU - Houston

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Name

Address

Suite/Apt #

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State

Zip

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INDIVIDUAL MEMBERSHIP LEVELS

$

DONATION AMOUNT OTHER THAN A MEMBERSHIP LEVEL

$20.00

(Students Only) KEY RING

Schoolname :

$45.00

KTSU Oval Key Chain

$65.00

*KTSU Ceramic Coffee Mug

Gospel Jazz Blues Oldies

$100.00

KTSU T-Shirt (Please Indicate Shirt Size)

M L XL XXL XXXL

$150.00

2-CD SET (select two)

Gospel Jazz Blues Oldies

$250.00

KTSU Ceramic Coffee Mug & Classic Tumbler

Gospel Jazz Blues Oldies

$365.00

KTSU CD of the Month Club (1 CD per Month)

Gospel Jazz Blues Oldies

$500.00

KTSU CD of the Month Club (2 CDs per Month)

Gospel Jazz Blues Oldies

$1000.00

CHOICE BUILDERS

NO GIFTS PLEASE, I WOULD LIKE ALL OF MY PLEDGE TO SUPPORT PROGRAMMING

SPECIAL PREMIUM

For More Detailed Information Contact the KTSU Development Department 713-313-7591

BUSINESS/CHURCH/UNDERWRITING SPECIALS Special’s available 10/30/2009 thru 11/08/2009

$350.00 $500.00 $750.00 $875.00 $1,000.00 $1,500.00

$2,000.00 $2,500.00

BUSINESS/CHURCH NAME:

CREDIT CARD INFORMATION

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Visa MasterCard Discover

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MAKE CHECK PAYABLE AND MAIL TO:

KTSU - 3100 CLEBURNE STREET - HOUSTON TX - 77004