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YUSA Pledge Sheet

 

Note: To use this pledge sheet, you must print it out first and then fill it in. You cannot fill in this sheet using your browser.  Please, please print clearly.

Select how much you wish to pledge:

(1) ___ $  5 per month (which equals  $60 per year) - One vote1
(2) ___ $10 per month (which equals $120 per year) - Two Votes1
(3) ___ $15 per month (which equals $180 per year) - Three Votes1
 

In categories 1, 2, and 3 you will receive a program schedule via US Mail and on the internet; entrance to the Members Only Section which includes the Chat room.  Also, the listing of the shows that are running during the current two week period. 

(4) ___ $20 per month (which equals $240 per year) - Four Votes1
(5) ___ Custom: $____ per month - You receive one vote for every $5 per month ($60 per year) you pledge.

1 Since you will be helping to sustain the operation of the station, you will receive voting privileges. Many of the important issues concerning the daily operation of the station are determined by majority vote, among the persons who regularly support the station. You will receive "one vote" for each five dollars per month that you pledge.

Your Name: ______________________________
Address: ______________________________
City/State/Zip: ______________________________
Email Address: ______________________________
Home Phone #: ____________________

 

 

You can pay for your pledge by credit card, if you wish. We accept Visa, MasterCard American Express, and Discover. No debit cards at this time.
 

If you wish to pay by credit card, we also need the following information. Please print number clearly:

Credit card number: ______________________________
Expiration Date: ___________
Name on card: ______________________________
Amount to be
charged to account:
$__________

If paying by credit card, you can print out this sheet, fill it in and fax it to:       972-889-2329  or if you'd like you can always mail your pledge to:

Yesterday USA
2001 Plymouth Rock
Richardson, TX 75081

Please make checks payable to "Yesterday USA

Thank you!!           Thank you!!           Thank you!!