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|                            WKHR Inc.                              |

|                     Individual Donation Form                      |

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| WKHR Inc. is a non-profit organization that relies on financial   |

| support from individuals.  WKHR Inc. operates as a non-profit     |

| organization and all donations are tax exempt.                    |

| See your tax professional for further information.                |

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| WKHR Inc. is dedicated to keeping big band swing music available  |

| on the radio frequency FM 91.5 as designated by the FCC.          |

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| An individuals financial donation directly goes to WKHR, Inc. to  |

| buy equipment, recordings, facilities and normal operating        |

| expenses.                                                         |

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| Thank You for supporting WKHR Inc. and helping us to meet our     |

| goals.                                                            |

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|           Donors Name:  ______________________________________    |

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|        Street Address:  ______________________________________    |

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|      City, State, Zip:  ______________________,  ___   _______    |

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|                 Phone:  ____________________________              |

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|                 Email:  ____________________________              |

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|       Donation Amount: $______________________                    |

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|                  Date:  ______________________                    |

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|         Credit Card #:  ____________________________              |

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|            Expiration:  ____________________________              |

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|                     Mail Completed Form to:                       |

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|                            WKHR Inc.                              |

|                         17425 Snyder Rd.                          |

|                    Chagrin Falls, Oh   44023                      |

|                   Studio Phone   440-708-0915                     |

|                   Business Phone 440-543-9646                     |

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