Your support is very important! Please print the form below and fill in the information requested. Then mail the form with your donation to one of the station addresses listed in the form. Remember, for gifts of $40 or more ($30 for Seniors) you'll receive Idaho Channels, Idaho Public Television's monthly program guide.
Your Name: ____________________________________________________
Your Address: _________________________________________________
City:________________________ State:___________ Zip Code:_________
Your Home Phone:________________ Your Work Phone: ________________
Pledge Amount: $____________________
Suggested levels
|
$30 Senior $40 Partner $60 Family |
$90 Editor $125 Assoc. Director $250 Director |
$500 Producer $1000 Exec. Producer $2500 & Up Founder |
Payment Option (Circle one):
|
One Time Payment Monthly Installments |
Quarterly Installments Payroll Deductions |
If you selected "Payroll Deductions" please circle your employer in the "Payroll Deductions Employers" list.
Payroll Deductions Employers
|
State of Idaho Idaho State University |
University of Idaho Blackfoot School District |
If your company matches your pledge please circle your employer in the following "Matching Companies" list.
Matching Companies
|
3M Corporation Abbott Laboratories Ada County Association of Realtors Aetna, Inc. Agriliance/Cenex/Land O'Lakes Allstate Insurance Company American Express Financial ATK CCI/Speer Operations AT&T Bank of America Basic American Foods Boeing BP America, Amoco Caterpillar Charles Schwab Chevron Texaco CIGNA Cingular Wireless Citigroup Coca Cola Company Dow Corning ExxonMobil Corporation Federated Stores/Macys GTE H.J. Heinz/Ore-Ida Harcourt Hewlett Packard (Global Giving) The Home Depot Household International IBM Idaho Power Company* Intermountain Gas Company J. R. Simplot Company* Corporate Offices, Boise AgriBusiness, Pocatello John Hancock Mutual Life Insurance Johnson & Johnson Family of Companies Johnson Controls Foundation JP Morgan Chase Manhattan |
Key Bank LandAmerica Financial Group Levi Strauss MasterCard McDonalds Merrill Lynch & Co. Foundation, Inc. Microsoft Monsanto Mutual of New York/MONY NCS Pearson Nokia Northwestern Mutual Financial Network PepsiCo PBG (Pepsi Bottling Group) Industries Foundation Pfizer Pillsbury/General Mills Pitney Bowes Prudential Foundation REI SAFECO SBC SW Bell Sprint Starbucks Coffee Company Syngenta Seeds Tandy Corp/Radio Shack Tennant Foundation Time Warner Toyota Trebar U.S. Bank Union Pacific United Parcel Service Foundation United Technologies Verizon W.W. Grainger, Inc. Washington Group Foundation* Washington Mutual Wells Fargo Foundation* |
*Companies may limit their match to March Festival Campaign
Updated 1/07
- Account Status (Circle one):
New
Renewal
Additional Gift
- Station I wish to pledge to (Circle one):
- Boise/Twin Falls - Idaho Public TV, P.O Box 4, Boise, ID 83707
- Pocatello - Idaho Public TV, 921 S. 8th, Pocatello, ID 83209-0001
- Moscow/Coeur d'Alene - Idaho Public TV, PO Box 443101, Moscow, ID 83844-3101
Please add any comments: ____________________________________________________________
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Please mail the completed form(s) to one of the addresses above. If you wish to include a check at this time, please make it payable to: Friends of Idaho Public Television.
If you would like to include your comments to Idaho Public Television please do so here: