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Pledge

ONLY USE THIS FORM TO MAKE A PLEDGE to an On-Air Personality or in support of a Radio Program on Breathe Life Radio for a one time contribution or on-going contributions.  You may also use this form if you would like to make a contribution to the Breathe Life Radio general fund which will help to support all programming.

If you would like to donate immediately to a particular On-Air Personality or a Radio Program, please click “Donate Now.”   Donate


PLEDGE FORM


FULL NAME

Let us know who you are.

First Name                                                  Last Name

Organization

If you are contributing on behalf of an organization, enter your organization’s name.

.

ADDRESS

Street Address 1

Street Address 2

City                                                                                 State                      Zip Code

Email Address

Phone Number


SPONSORSHIP SELECTION

Please indicate which On-Air Personalities and/or the Programs that you would like to sponsor.  Your sponsorship ensures that those On-Air Personalities and Programs are always available.
(You do not have to select both, if you simply want to support one On-Air Personality, you can select him/her and not select a particular show.)

On-Air Personalities Programs
(Select one, more or none.) (Select one, more or none.)
Chelle T

D-Cam

JTruth

Kari Jay

Kindred

Kiwi

Lady E

Milli On Air

Qheem the Redeemed

Rapture

Ricky J

All On-Air Personalities

Other:

2Real 4Life

Breathe Life Radio Show

The Christian Declare Show

The MuSickHeadz Show

OFF THE CHAIN (8:36)

Truth Seekers

Transparent Tuesdays

One Flesh

All Breathe Life Radio Shows

Other:

.

.

.

.


SPONSORSHIP INFORMATION

Please indicate the amount and frequency of your sponsorship.

Sponsorship Frequency
Indicate the frequency of your gift.

One-time Sponsorship

Monthly Sponsorship

Sponsorship Amount
Indicate the dollar amount of your gift.

Monthly Date of Donation

Enter the day of the month for your on-going donations, i.e., “the 15th”


Thank you!

We really appreciate your generous support of our On-Air Personalities and Programs. Your continued support ensures that they remain on the air.

Message to the On-Air Personality(s)

Please indicate why you like the Program(s) or what you would like to see in future programs.

Yes, I would like to receive regular communications about Breathe Life Radio programs and services.

Yes

No

Never submit any confidential information through this form.  You will receive an email with a request to make your donation.