Printable Order Form

FM 88.9 / WSTB
2012 Membership Drive Check Mail-in Form

If you are mailing a check, please print and fill out this form and include it with your check.

Name: _______________________________________________________________

Address 1: ____________________________________________________________

Address 2: ____________________________________________________________

City: _______________________________ State: _____________ Zip: ___________

Phone Number: ________________________________________________________

If you are donating $75 or more, please indicate t-shirt size:

[ ] Medium

[ ] Large

[ ] X-Large

[ ] 2XL (Sunday Oldies Jukebox only)

NOTE: If the requested size is unavailable, we'll send the closest available size.

Make your check payable to WSTB/Sunday Oldies Jukebox, and mail your check
and order from to:

Sunday Oldies Jukebox
c/o WSTB Radio
Attn: Membership Drive
1900 Annalane Drive
Streetsboro OH 44241

Thanks for supporting the Sunday Oldies Jukebox!