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Donation Type




EFT: Please choose which day of the month you would like your gift withdrawn from your account. You may choose either the 4th or the 18th of the month.
By checking this box, I am authorizing Friends of Iowa PBS to charge my bank account or credit card account monthly until I notify Friends of Iowa PBS or my bank that I wish to end this agreement.

Donation Amount

  • Donations of $35 or more receive the Advance monthly programming guide.
  • Donations of $60 or more receive the Advance monthly programming guide, Iowa PBS Passport and Friends MemberCard.

Thank-You Gift

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Recipient Information

Complete this form ONLY if you would like us to send the thank-you gift
to a DIFFERENT address than the donor address.

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Recipient Information

Complete this form ONLY if you would like us to send the thank-you gift
to a DIFFERENT address than the donor address.

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Remaining Characters: 120120

Recipient Information

Complete this form ONLY if you would like us to send the thank-you gift
to a DIFFERENT address than the donor address.

Recipient First Name(s)
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Remaining Characters: 120120
Remaining Characters: 120120

Recipient Information

Complete this form ONLY if you would like us to send the thank-you gift
to a DIFFERENT address than the donor address.

Recipient First Name(s)
Recipient Last Name
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Remaining Characters: 120120
Remaining Characters: 120120

Recipient Information

Complete this form ONLY if you would like us to send the thank-you gift
to a DIFFERENT address than the donor address.

Recipient First Name(s)
Recipient Last Name
Address Line 1
Address Line 2 (Apt, Floor, Suite, etc.)
City
State
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Recipient Telephone
Comment
Remaining Characters: 120120
Remaining Characters: 120120

Recipient Information

Complete this form ONLY if you would like us to send the thank-you gift
to a DIFFERENT address than the donor address.

Recipient First Name(s)
Recipient Last Name
Address Line 1
Address Line 2 (Apt, Floor, Suite, etc.)
City
State
Zip/Postal
Recipient Telephone
Comment
Remaining Characters: 120120
Remaining Characters: 120120

Recipient Information

Complete this form ONLY if you would like us to send the thank-you gift
to a DIFFERENT address than the donor address.

Recipient First Name(s)
Recipient Last Name
Address Line 1
Address Line 2 (Apt, Floor, Suite, etc.)
City
State
Zip/Postal
Recipient Telephone
Comment
Remaining Characters: 120120
Remaining Characters: 120120

Recipient Information

Complete this form ONLY if you would like us to send the thank-you gift
to a DIFFERENT address than the donor address.

Recipient First Name(s)
Recipient Last Name
Address Line 1
Address Line 2 (Apt, Floor, Suite, etc.)
City
State
Zip/Postal
Recipient Telephone
Comment
Remaining Characters: 120120
Remaining Characters: 120120

Recipient Information

Complete this form ONLY if you would like us to send the thank-you gift
to a DIFFERENT address than the donor address.

Recipient First Name(s)
Recipient Last Name
Address Line 1
Address Line 2 (Apt, Floor, Suite, etc.)
City
State
Zip/Postal
Recipient Telephone
Comment
Remaining Characters: 120120
Remaining Characters: 120120

Recipient Information

Complete this form ONLY if you would like us to send the thank-you gift
to a DIFFERENT address than the donor address.

Recipient First Name(s)
Recipient Last Name
Address Line 1
Address Line 2 (Apt, Floor, Suite, etc.)
City
State
Zip/Postal
Recipient Telephone
Comment
Remaining Characters: 120120
Remaining Characters: 120120

Contact Information
First and Last Name
Address
City
State
Zip/Postal
Phone Number Type
Email Address

Additional Benefits

Kid First and Last Name
Kid Birthdate
Drop Down Calendar
Address Line 1
Address Line 2
City
State
Zip/Postal
Kid First and Last Name
Kid Birthdate
Drop Down Calendar
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Address Line 2
City
State
Zip/Postal
Kid First and Last Name
Kid Birthdate
Drop Down Calendar
Address Line 1
Address Line 2
City
State
Zip/Postal
Kid First and Last Name
Kid Birthdate
Drop Down Calendar
Address Line 1
Address Line 2
City
State
Zip/Postal

Iowa PBS Kids Club

The Iowa PBS Kids Club is complimentary for those who pledge $120 or more.
You can enroll up to four kids age 10 and younger.
Please tell us how to pronounce your kids' names.

Friends of Iowa PBS MemberCard!

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Weekly Program Highlights

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Donation Summary

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