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I authorize WQPT to deduct my Sustaining donation from the bank account or credit card submitted on this form. The first deduction will occur on or shortly after today's date and continues monthly until I notify WQPT that I wish to change or end this agreement. WQPT can be reached by phone at (309) 764-2400 (M-F, 9-5).


Your gift is very much appreciated and may be tax deductible pursuant to IRC §170(c). A copy of our latest financial report may be obtained at