Donation Allocation
 
Membership Questions?
Phone:
608.265.8658
866.822.2634 (toll-free)

E-mail:
member@wpt.org

Mail:
821 University Ave
Madison, WI 53706

Printable Donation Form

Support Wisconsin Public Television

Become a Monthly Sustaining Donor

 

Ongoing donation 
active button  
* Radio button group Required
Select a Monthly Gift Amount: Required
Select a Monthly Gift Amount: Select a Monthly Gift Amount: Required radio button group.
Required
Warning
     
Select a Monthly Gift Amount: Select a Monthly Gift Amount: Required radio button group.
Required
Warning
     
Select a Monthly Gift Amount: Select a Monthly Gift Amount: Required radio button group.
Required
Warning
     
Select a Monthly Gift Amount: Select a Monthly Gift Amount: Required radio button group.
Required
Warning
     
Select a Monthly Gift Amount: Select a Monthly Gift Amount: Required radio button group.
Required
Warning
     
Select a Monthly Gift Amount: Select a Monthly Gift Amount: Required radio button group.
Required
Warning
     
Select a Monthly Gift Amount: Select a Monthly Gift Amount: Required radio button group.
Required
Warning
     
Select a Monthly Gift Amount: Select a Monthly Gift Amount: Required radio button group.
Required
Warning
     
Select a Monthly Gift Amount: Select a Monthly Gift Amount: Required radio button group.
Required
Warning
     
Select a Monthly Gift Amount: Select a Monthly Gift Amount: Required radio button group.
Required
Warning
     
Select a Monthly Gift Amount: Select a Monthly Gift Amount: Required radio button group.
Required
Warning
     
Select a Monthly Gift Amount: Select a Monthly Gift Amount: Required radio button group.
Required
Warning
     
Select a Monthly Gift Amount: Select a Monthly Gift Amount: Required radio button group.
Required
Warning
     
Select a Monthly Gift Amount: Select a Monthly Gift Amount: Required radio button group.
Required
Warning

($5.00 minimum)

  Select a Thank-You Gift (Optional): There are no thank-you gifts available for the selected level.
 
 
Billing Information
 
Warning
*
Warning
*
Warning
*
Warning
 
Warning
*
Warning
*
Warning
*
Warning
*
Warning
 
For your privacy, subscribers can unsubscribe using any email or login to change email preferences. For your privacy, subscribers can unsubscribe using any email or login to change email preferences. Required
Warning
Payment Information
 
Credit Card Type:

Warning
*
Warning
* What is this?
Warning
*
Warning
 

 

Sustaining Membership via Bank Account (EFT):
Monthly donations may be made from a savings or checking account instead of a credit card by completing and mailing this printable form. Or, contact us, and we will be happy to mail you one.

All contributions to Wisconsin Public Television are tax-deductible according to IRS regulations. Receipt of membership benefits may reduce the tax deductibility of your contribution. You will receive a statement by mail detailing the tax deductible portion of your donation for your records.