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E-mail address Home Phone # XXX XXX XXXX Work Phone # XXX XXX XXXX Last Name First Name Spouse Name Select titleMr.Mrs.Mr. & Mrs.MsMissDrDrs Title Address City State Zip Code Choose a station to support, or the General Fund for both stations: Select station to supportKTLF Light PraiseKTPL Power88General Fund (both stations) Have you ever donated to the ministry before? Yes No If so, has your address, phone # or e-mail changed? Yes Previous name/address/phone/email: How much would you like to pledge? Amount: How often?MonthlyQuarterlyAnnuallyOne time Become a day sponsor for $1440, or a 1/2 day sponsor for $780 Day sponsor type: What type of day sponsorship?Full-day ($1440)Half-day ($780) What date would you like to sponsor? In honor/memory of: Comments: POWER AND LIGHT RADIO PLEDGE FORM 1665 Briargate Blvd, Suite 100  Colorado Springs,  CO  80920 719.593.0600   800.428.1201   fax 719.593.2399