Become a PBS member or renew your membership below!

WTCI Membership Form

Please enter your information below. If you are updating payment information for an existing membership, please note that in the comment box at the bottom.

Please complete the following form. Fields marked * are required.

Personal Details

*First Name

*Last Name

*Street 1

Street 2

*City

*State

*Zip Code

*Daytime phone

*Email

May we contact you via email?

Yes No

Your Sustaining Gift

Number of payments?

*Sustaining Gift?

Yes No

Please choose "Yes" if you want your donation to continue until you tell us to stop.

Amount of pledge

$60 $75 $100 $250 $500 $1000 Other

Please choose the amount of your pledge or enter an amount

Pledge Amount

Minimum contribution $5

Amount per month

$5 $7 $10 $15 $20 Other

Other amount per month

*Payment Method

Credit Card Bank Draft

Making your donation via bank draft saves WTCI credit card processing fees and allows you to keep your donation going without having to update payment information when a credit card expires.

Thank you Gift

Thank you gift

Bank Draft Information

Bank Routing Number

Bank Account Number

Savings Account?

Yes No

Electronic signature (eg. /John Smith/ )

To confirm you have read our EFT Policy and agree to ongoing bank debits, please sign above in the format of /First Last/ including the slashes.

Credit Card Information

Credit Card Number

Expiration Date

Format MM/YY

Let us know what WTCI means to you!

Comment

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Thank you for your patience as we process your pledge. Please don't click on the refresh or back buttons while the next page is loading as it might duplicate your pledge.

Become a PBS member or renew your membership below!

Thank you for your patience as we process your pledge. Please don't click on the refresh or back buttons while the next page is loading as it might duplicate your pledge.

For additional support or questions please call (423) 702-7819 or email membership@wtcitv.org