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!!