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WNCU Memberships

Jazz Matters

How to become a WNCU Sustaining Member

Automatic Withdrawal Form

NOTE: Red asterisks ( * ) indicate required form fields.

For Membership Gifts with Premiums

Membership Type: 

 This is a Matching Gift    Matching Company Name: 

* Membership Level: The dollar amount of the level you select (below) will be charged to your bank card.
$100.00
Ground Breaker
Thank You Gift: T-shirt
I do not want a thank you gift
$200.00
Jazz Swinger
Thank You Gift: T-shirt and Cap
I do not want a thank you gift
$300.00
Jazz Crusader
Thank You Gift: T-shirt and Cap and Tumbler
I do not want a thank you gift
$500.00
Jazz Master
Thank You Gift: T-Shirt and
Miles Davis/John Clotrane Boxset, Bootleg Series Vol. 6
I do not want a thank you gift
$1000.00
Jazz Curator
Thank You Gift: T-Shirt and Cap
and
3 VIPs seats for WNCU Music Stage Concert Series
I do not want a thank you gift
$2500.00
Jazz Ambassador
Thank You Gift: 2 T-Shirts, 2 Caps, the The Jazz Ambassadors DVD by Hugo Berkely
and 6 VIPs seats for WNCU Music Stage Concert Series
I do not want a thank you gift
Other $  

Additional Comments:

Info About You

* First Name  * Last Name  (as it appears on your bank card)
* Address Line 1 (e.g. 1234 Main St)
  Address Line 2 (optional: e.g. Apt 102)
* City   * State   * Zip Code
* Daytime Phone  (include area code - no hyphens)
* E-mail An acknowledgement will be sent to this address.

Payment/Banking Information

Visa MC AMEX and Discover cards accepted.
* Credit Card Number   (numerals only, no hyphens)
* Credit Card Expiration Date  (Enter as 4-digit, MMYY Format, e.g. 1015 = October, 2015)
* Credit Card CVV2 Security Code  What's that?
    

Also available:
Offline Memberships and Gifts WNCU Pledge Form
To www.WNCU.org
Specify a different NCCU fund designation

For additional assistance, contact Development Director, Uchenna B Owens
NCCU complies with Title IX of the Education Amendments of 1972, which prohibits discrimination on the basis of sex in all programs and activities (including sexual harassment and sexual violence) in the University's educational programs and activities. For additional resources or to file a Title IX complaint, visit the NCCU's Title IX webpage.
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