Support Utah Public Radio

Please print out, complete, and mail this form with your check or money order to:

Utah Public Radio
8505 Old Main Hill
Logan, Utah 84322-8505

Thank you for your support!

Name _________________________________________________________________

Street ________________________________________________________________

City ___________________________________ State _____ Zip ________________

Telephone ______________________

E-mail _________________________________
(must have if electing to receive Donor E-Mail)

Amount Donated $ _____________________

Please check here if:

_____ I prefer not to be listed publicly as a Utah Public Radio Supporter
_____ I prefer not to receive the quarterly Donor E-Mail