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Do you wish to receive a Thank-You gift?

Gifts are mailed after station costs are covered. Typically after 2-3 payments.

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City
State
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Recipient Email
Delivery Date
Message
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First Name
Last Name
Address
Address Line 2 (Apt, Floor, Suite, etc.)
City
State
Zip Code
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Recipient Telephone
Recipient Email
Delivery Date
Message
Remaining Characters: 120120
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Alternate shipping information
First Name
Last Name
Address
Address Line 2 (Apt, Floor, Suite, etc.)
City
State
Zip Code
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Recipient Telephone
Recipient Email
Delivery Date
Message
Remaining Characters: 120120
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Alternate shipping information
First Name
Last Name
Address
Address Line 2 (Apt, Floor, Suite, etc.)
City
State
Zip Code
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Recipient Telephone
Recipient Email
Delivery Date
Message
Remaining Characters: 120120
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Alternate shipping information
First Name
Last Name
Address
Address Line 2 (Apt, Floor, Suite, etc.)
City
State
Zip Code
 - 
Recipient Telephone
Recipient Email
Delivery Date
Message
Remaining Characters: 120120
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Alternate shipping information
First Name
Last Name
Address
Address Line 2 (Apt, Floor, Suite, etc.)
City
State
Zip Code
 - 
Recipient Telephone
Recipient Email
Delivery Date
Message
Remaining Characters: 120120
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Alternate shipping information
First Name
Last Name
Address
Address Line 2 (Apt, Floor, Suite, etc.)
City
State
Zip Code
 - 
Recipient Telephone
Recipient Email
Delivery Date
Message
Remaining Characters: 120120
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Alternate shipping information
First Name
Last Name
Address
Address Line 2 (Apt, Floor, Suite, etc.)
City
State
Zip Code
 - 
Recipient Telephone
Recipient Email
Delivery Date
Message
Remaining Characters: 120120
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Remaining Characters: 120120

Alternate shipping information
First Name
Last Name
Address
Address Line 2 (Apt, Floor, Suite, etc.)
City
State
Zip Code
 - 
Recipient Telephone
Recipient Email
Delivery Date
Message
Remaining Characters: 120120
Remaining Characters: 120120
Remaining Characters: 120120
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Billing Information
First and Last Name
Billing Address
City
State
Zip Code
Phone Number
Email Address

Comments

Comments:
Sustainer Terms of Agreement
I authorize OPT to withdraw my monthly sustaining gift from my account indicated. This authorization shall remain in effect until I notify OPT that I wish to change it or end it, and OPT has reasonable time to act on my wishes. A record of each payment will appear on my monthly credit card or bank statement and will serve as my receipt. If I requested a thank-you gift, I understand OPT must use a portion of my donation to purchase the gift and therefore it will be mailed to me after station costs have been covered (typically after 2-3 payments). Any pledge obligation agreed upon in order to receive the thank-you gift is due in full upon cancellation.
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