Mailing Information - Must Match Card Billing Address if You Are Using a Credit or Debit Card
You can have up to two names on your member account. Please follow these examples: for same last name, enter as John and Mary Smith or for different last names, enter as Mary Jones and Barry Hall.
First and Last Name
Company
Address
City
State/Prov
Zip/Postal
Phone Number
Email Address
WEMC Pledge Amount
Please enter or select the amount of your pledge






Please specify amount:
Day Sponsorship Information

Selected Premiums
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Recipient Information
Recipient First Name(s)
Recipient Last Name
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State/Prov
Zip/Postal
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Extension
Recipient Email
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Recipient Last Name
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State/Prov
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State/Prov
Zip/Postal
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Recipient First Name(s)
Recipient Last Name
Address Line 1
Address Line 2 (Apt, Floor, Suite, etc.)
City
State/Prov
Zip/Postal
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Recipient Telephone
Extension
Recipient Email
Delivery Date
Message
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Payment Method
Please select payment method. If paying by a credit or debit card you will be taken to a secure payment site after you hit "continue." *Address must be credit card billing address.





You may choose to receive a MemberCard for a new or renewal gift of $60 or more. NOTE: MemberCard is not available for additional gifts.

Additional Information
May we read your name on air?
Please provide any comments you may wish to share, how to pronounce your name, and whether or not you’re a NEW member (part of the 2% solution.)
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We do not release contributor information to any other parties.

Please call or write for more information:
Scott Lowe (540) 568-3806 or (800) 677-9672
Membership and Volunteer Services Manager
WMRA & WEMC, 983 Reservoir Street
Harrisonburg, VA 22801