Your Support is Key!

Rock and Recovery Membership

Thank you for supporting Rock and Recovery. The Summit is proud to provide the Rock and Recovery service. Using the power of music to build community is the foundation that has helped support this service,

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 $20 $30 $42 $84/Red Guitar $209/Gold Guitar $417/ Platinum Guitar Other

Learn about Guitar Club

Other amount per month

Pledge Amount

$60 $120 $240 $365 $500 $1000 Red Guitar $2500 Gold Guitar $5000 Platinum Guitar Other

Learn about Guitar Club

Other amount

Select Thank you Gift

*Payment Method

EFT/Checking American Express Visa MasterCard Discover Bill Me (lump sum only)

Credit Card Information

Credit Card Number

Card Expiration

Please use format MM/YY

Electronic Funds Transfer

Routing Number

Account Number

EFT Approval

Yes

Check 'YES' to confirm you have read our EFT Policy and agree to ongoing bank debits

Comments and/or Gift Recipient Info

Comments

*Verifiy

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Errors above, please check and submit again

Your Support is Key!

Rock and Recovery Membership

Thank you for your patience as we process your pledge.

Thank you for your support