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Pledge Amount
First Name
Last Name
Email
 
Mailing Address
Phone
 
Desired Premiums
2007 T-shirt - $30 2007 Hoodie - $45
PJ Bottoms - $35 Pink Panties - $20
Slippers - $25 50th Anniversary Gold Watch - $75
Key Chain - $10 License Plate Frame - $10
Zippo Lighter - $30 Button - $5
Toothbrush - $5 Playing Cards - $10
Record Bag - $7550th Anniversary Tote Bag - $25
KXLU CD Compilation Volume 3 - $25KXLU CD Compilation Volume 4 - $25
KXLU CD Compilation Volume 5 - $25KXLU CD Compilation Volume 6 - $25
KXLU CD Compilation Volume 7 - $25KXLU CD Compilation Volume 8 - $25
Morning Becomes Erratic CD Compilation - $20
Special Requests, Comments and/or Sizes
By submitting this form, you are pledging to donate money to KXLU. You will receive an invoice for your pledge which can be returned with your donation.