Building to Endowment Contribution Application

Enclosed is my/our contribution of ___________ to the LVCBA/WDIY Building-to-Endowment (BTE) Fund. Note: this unrestricted, general BTE fund has a $300 minimum contribution.

I have read the LVCBA/WDIY Building-to-Endowment Policy currently in effect and agree that this gift be subject to the terms and conditions therein.

Signed: _____________________________________________ Date:______________

Name: ________________________________________________________________

Address: ______________________________________________________________

Telephone: _____________________________________________________________

Email Address: __________________________________________________________

______ Please check if interested in making future donations to this BTE fund.

Please mail your check, made payable to Fidelity F.B.O. LVCBA ,
and this completed form to:

Lehigh Valley Community Broadcasters Association
(Attn. Executive Director)
301 Broadway
Bethlehem, PA 18015

===============================================================

Gift acknowledged and accepted for the LVCBA/WDIY by:

Signed: ________________________________________ Date: _____________
Executive Director

Thank you for your generous gift intended to ensure the long-term financial stability of WDIY, Lehigh Valley Community Public Radio. We will keep you informed in accordance with the BTE policy of the status of the BTE fund to which you have contributed.

If the existing unrestricted BTE does not meet the intention of your gift and you wish to establish a new restricted BTE, please contact WDIY's Executive Director to discuss your wishes.