KMST Online Pledge Form

Are you already a member of KMST?

Yes
No

Contact Information	*=Required Information
*Name
*Address

*City
*State
*Zip Code
Home Phone
Work Phone
Email Address
Are you a member of the MS&T faculty or staff?
Yes No	If yes, what department?
Select your pledge level
Amount if not listed above
I would like to give to the KMST endowment Fund in the following amount:

If you would like a thank-you gift, please select one from this list and write it into the "Comments" field below.
Your premium will be mailed when your pledge has been fulfilled. The IRS has determined that the tax deductibility of your contribution will be reduced by the value of the premium that you choose. This does not apply to Day Sponsorships
Method of Payment (please mention in the "Comments" field below, even if you are paying by Credit/Debit card)
I would like to pay by Credit/Debit card. (This will open a NEW window to Missouri S&T's secure website for credit/debit payments. The KMST Pledge page will stay open in the background for you to finish in a few minutes)
If you would would like to pay by Check/Money Order, please mail your payment to:
Public Radio KMST 400 W. 14th Street Rolla, MO 65409-9139
If you are an MS&T employee and would like to set up a payroll deduction, please mention that in the"Comments" field below.
Program Preferences
Please list your program preferences. You may hold the "CTRL" key to select more than one.
Check here if y ou do not want your name announced as a KMST supporter
I would like to know more about becoming a Charter Society member.
Check here if you would like to receive our program guide INTRO online.
I would like to be a KMST volunteer.
If you have any comments, please share them with us below!

KMST Online Pledge Form

Method of Payment (please mention in the "Comments" field below, even if you are paying by Credit/Debit card)

Method of Payment
(please mention in the "Comments" field below, even if you are paying by Credit/Debit card)