KCPW "Thank-You Gift" Donation Form
KCPW's public radio pledge drives are truly a community effort each year. Thank you for taking part!

Please reach out if you have any questions as you fill out this form:  
Toni Tietjen, 801-359-5279 ext. 220, ttietjen@kcpw.org
Randin Graves, 801-359-5279 ext. 229, rgraves@kcpw.org

You'll receive an e-copy of your form once you submit it. We'll then contact you with details and a receipt.
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Email *
Organization Name *
Please enter it as you would like to be recognized on-air and online.
Contact Info *
Please enter your first and last name, phone number, and physical address.
Web Address *
We'll use this link in our online and emailed donor recognition announcements
Preferred contact method *
Required
Thank-You Gift Type *
We're more than happy to create and print a gift certificate for you if it's easier. Just let us know, and we'll send a copy your way for reference once it is finished.
Required
Full Description of Item *
Quantity *
Fair Market Value (of each) *
Expiration Date (if applicable)
MM
/
DD
/
YYYY
Restrictions (if applicable)
Please note if there are any exclusions associated with your gift certificate or other donation (i.e. "not applicable toward the purchase of alcohol or taxes")
How will your thank-you gifts get to KCPW? *
Should your thank-you gift end up not being used during the next pledge drive, may we apply it to future fundraising campaigns and station operations? *
Please use this space for additional comments. Thank you again for supporting local public radio!
A copy of your responses will be emailed to the address you provided.
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