PowerGrass Radio: Mail Orders – Print and Complete

Pay by check or money order.

Send donation and make payable to:

PowerGrass Radio

Rt. 2, Box 195B

Salem, West Virginia 26426 - USA

Date

Donation Amount Phone Number

Email Address

First Name Last Name

Address

City State Zip

Base your donation on the number of days remaining in the quarter:

Jan 1 – Mar 31. Apr 1 – June 30. Jul 1 – Sep 30. Oct 1 – Dec 31

Donate today and listen till October 1st, 2008.

Upon receipt of your donation we will give you the page-link to listen via email or phone.

How much should I donate ... we hope to average $5.00 per month or $15.00 per quarter

per listener.

Returned checks ... bank fees plus collection costs if any.

Make sure you can listen to our stream by returning to the top of previous page and

test our sample audio stream.