Your Support is Key!

Your support keeps the music alive on The Summit FM. Your donation will keep the riches and rewards of inspired independent music playing on The Summit FM for everyone.

To give a gift membership, fill out the form with your personal information, and put the recipients personal information in the "Comments" section. Be sure to include their name, mailing address, email and phone number.

For contest entry only please write michelle@thesummit.fm.

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

Personal Details

*First Name

*Last Name

First Name spouse

Last Name spouse

*Street Address

*City

*State

*Zip

*Email Address

Phone

Contact via email?

Yes No

We send you all of your Summit Member invitations via email.

Thank on air?

Yes No

(First name and city only)

Are you a new or renewing member?

New Renewing Additional Gift

Your Pledge

*Sustaining pledge?

Yes No

Your sustaining pledge automatically renews as long as you want! You receive our latest thank you gift every year automatically!

# of payments

Monthly Amount

$10 $30 $42 $84/Red Guitar $209/Gold Guitar $417/ Platinum Guitar Other

Specify the amount per month

Other amount per month

Pledge Amount

$60 $120 $365 $500 $1000 Red Guitar Level starts here $2500 Gold Guitar Level Starts Here $5000 Platinum Guitar Level Starts Here Other

Other amount

*Payment Method

EFT Credit Card Check

*NOTE* For credit cards you will be taken to Paya Payment Services to securely enter the information after the VERIFY step at the bottom of the page is complete and you submit your pledge.

Electronic Funds Transfer

Routing Number

Account Number

e-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/

Comments and/or Gift Recipient Info

Comments

*Verifiy

Please validate above

Errors above, please check and submit again

Your Support is Key!

Thank you for your patience as we process your pledge.

Thank you for your support