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Vine VIP Underwriter

Vine VIP Underwriting Form
Please Fill Out This Form To Begin Your Monthly
Contribution of $25.00 or More To Real Life Radio Foundation. 
We will make you aware of special promotions before they are announced on-air.
You will also become instantly eligible to purchase Vine VIP Reserved Concert Tickets.
Your contributions are tax deductible and we will mail you a year-end giving statement
We greatly value your ongoing partnership with our local radio ministry.
If you have questions, please call us at (618) 895-3030.
Name
Address
City
State
Your Monthly Underwriting Amount
Telephone
Email Address


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