Please print this page, fill out and mail with check or money order to:

WFAN/Tides, PO Box 611, Ames, IA 50010.

Name: _______________________________________________

Address: _____________________________________________

Phone: __________________________

Email: ___________________________

My gift is ___ in honor of  ___ in memory of __________________________. Please send a notification letter to (provide address below):

_________________________________________________________________________

Enclosed is my gift of $ ________ (please make out check to Tides/WFAN).

OR

___  I would like to set up a pledge payment schedule. please send me a reminder me to give

$______ per  __ month      __ quarter    __year

___ I would like to learn more about bequests and planned giving. please contact me by ___ phone or ___ email.

__ I would like to join the email list and receive WFAN’s newsletter electronically.

__ I would like to know more about volunteer opportunities to support WFAN. (Please describe skills and interests):_____________________________________________