Listen to WPR online .. .. Return to the WPR Home Page ..

UW Employees can support Wisconsin Public Radio
through the UW Payroll Deduction plan!

Simple! Fast! Secure!

If you are a UW Employee, you can authorize a monthly donation to Wisconsin Public Radio directly from your paycheck.

With payroll deduction, there are no monthly invoices, no renewals, no reminders and you save stamps!

You'll also have the satisfaction of knowing that you're continually supporting the great programming on WPR.

Directions:

1. Print out this web page, fill in the information,
    and be sure to sign it.

2. If you can't print this page, please call us at
    800-383-9772 or 608-263-2244, or email us at
    membership@wpr.org and request a UW
    Employee Payroll Deduction Form.

3. Mail page to:  Wisconsin Public Radio
                            821 University Avenue
                            Madison, WI  53706


UW Payroll Deduction Authorization
 Authorization: (Check One)    ____ New Participant          ____ Change in Deduction Amount
 Monthly Contribution Amount:
Check One Below. (Minimum $10 per month)
NOTE: Monthly contributions will continue until you request that they stop.
____$50     ____$30     ____$20     ____$10     ____ Other Amount: $____.00
 Start Contributions:  (Check One)    ____ Next Pay Period         ____ This Date: ___/___/___

 Personal Information:   (WPR does not sell or share personal information.)

     Name: (Please Print): _____________________________________________________________________
                                   (Last)                   (First)                      (Middle)
     Social Security Number: _____________________________________________________________
 
     Mailing Address: ______________________________________________________________________
                                   (Street)                  (City)             (State)      (Zip)
     Home Telephone: (___________________) __________________________________________________
                                  (Area Code)                           (Number)
I hereby authorize the University of Wisconsin to deduct the amount of my annual membership in the Wisconsin Public Radio Association in monthly installments from my paychecks. This authoization shall remain in effect unless terminated by me by notifying Wisconsin Public Radio. Please Note: Unclassified employees that are paid on a nine (9) month basis will have four (4) deductions taken from their June 1st check. Classified employees will have deductions taken from their bi-weekly "B" check each month.

 Employee's Signature _________________________________ Date: ___________