Give a Tribute or Memorial Gift

A tribute or memorial gift is a meaningful way to honor the memory of a loved one, celebrate major life accomplishments, or mark a special occasion, while supporting the mission of Maryland Public Television. Your gift will help us to continue providing quality programs and services that make a difference in the lives of 1.3 million viewers in the Maryland region.

Other

(minimum $5.00)

Your Information

First Name *

Last Name *

E-mail address *

Country *

Address *

Address Line 2

City *

State/Province *

ZIP/Postal Code *

Honoree Information

Is This Donation:

In Honor Of

In Memory Of

Name

Address

City

State

Zip Code

Comments

Payment Details

Checking Account or Credit Card Authorization

I authorize Maryland Public Television 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 Maryland Public Television that I wish to change or end this agreement. Maryland Public Television can be reached by phone at (410) 581-4292.

I agree.

Credit card number

Expiration date

CVV

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 mpt.org.