Thank you for your support!

I’d like my contribution to go toward:

□ TV

□ Radio

□ Both

Name __________________________________________________________________________ Street Address ___________________________________________________________________ City _______________________________ State _______________ ZIP____________________ Phone ________________________________ Email ____________________________________ Membership Level:

□ $1,000+ (Carpenter Society) □ $150 (Leadership Circle)

□ $500 (Producer’s Circle) □ $90 (Member Plus)

□ $250 (Director’s Circle) □ $60 (Basic membership)

Payment method:

□ Check enclosed □ Charge my Visa, Mastercard or Discover (You may also submit credit-card pledges at wnin.org!) Card number: ________________________________________ Exp date: ______ / ______

□ I’d like to pay in installments:

___ Monthly ___ Quarterly ___ Semi-monthly

□ Please set up my account for automatic renewal at the end of my membership year. Membership benefits:

□ My gift is over $60, and I would like to receive Evansville Living magazine at no additional charge. □ My gift is over $90, and I would like to receive the WNIN discount card at no additional charge. Please mail completed form with payment to:

WNIN P.O. Box 777 Evansville, IN 47705-0777

Thank you for your support!