document.writeln('		<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">');
document.writeln('<style type="text/css">');
document.writeln('			<!--');
document.writeln('			#sitemason_bMTHmo {');
document.writeln('				');
document.writeln('			}');
document.writeln('			');
document.writeln('			#sitemason_bMTHmo .sitemason_title {');
document.writeln('				');
document.writeln('				font-family: Verdana, Arial, Helvetica, sans-serif;');
document.writeln('				font-size: 18px;');
document.writeln('				font-weight: bold;');
document.writeln('				text-align: center;');
document.writeln('				padding: 2px 4px 2px 4px;');
document.writeln('				margin: 0px;');
document.writeln('			}');
document.writeln('			');
document.writeln('			#sitemason_bMTHmo .sitemason_header {');
document.writeln('				');
document.writeln('				font-family: Verdana, Arial, Helvetica, sans-serif;');
document.writeln('				font-size: 14px;');
document.writeln('				font-weight: bold;');
document.writeln('				padding: 2px 4px 2px 4px;');
document.writeln('				margin: 0px;');
document.writeln('				clear: both;');
document.writeln('			}');
document.writeln('			');
document.writeln('			#sitemason_bMTHmo .sitemason_body, #sitemason_bMTHmo .sitemason_error, #sitemason_bMTHmo .sitemason_notice {');
document.writeln('				');
document.writeln('				font-family: Verdana, Arial, Helvetica, sans-serif;');
document.writeln('				font-size: 12px;');
document.writeln('				margin: 2px 8px 2px 8px;');
document.writeln('				min-height: 1px;');
document.writeln('			}');
document.writeln('			');
document.writeln('			#sitemason_bMTHmo .sitemason_error {');
document.writeln('				color: #CC0000;');
document.writeln('				margin: 8px 8px 2px 8px;');
document.writeln('			}');
document.writeln('			');
document.writeln('			#sitemason_bMTHmo .sitemason_notice {');
document.writeln('				font-weight: bold;');
document.writeln('				margin: 8px 8px 2px 8px;');
document.writeln('			}');
document.writeln('			');
document.writeln('			#sitemason_bMTHmo .sitemason_match {');
document.writeln('				font-weight: bold;');
document.writeln('			}');
document.writeln('			');
document.writeln('			-->');
document.writeln('		</style>');
document.writeln('		<form method="post" name="form1" enctype="multipart/form-data" action="http://sitemason.trevecca.edu/form/bMTHmo" onSubmit="javascript:window.open(\'\',\'submit\',\'width=800,height=800,resizable=yes,scrollbars=yes\');return true;" target="submit">');
document.writeln('<input type="hidden" name="form__current_page" value="1">		<table id="sitemason_bMTHmo" class="sitemason_form" border="0" cellspacing="0" cellpadding="0">			<tr>');
document.writeln('					<td class="sitemason_body">');
document.writeln('		');
document.writeln('		<div>');
document.writeln('  <h2 class="sitemason_header" style="border-style:none; padding-top:3px; padding-bottom:3px; padding-right:3px; padding-left:3px; margin-top:6px; margin-bottom:6px; margin-right:6px; margin-left:6px; ">');
document.writeln('    <a name="ONGOING_MONTHLY_GIFT"></a>ON-GOING MONTHLY GIFT</h2>');
document.writeln('  <div class="sitemason_body" style="text-align:left; border-style:none; margin-bottom:14px; ">');
document.writeln('    <div>When you pledge an on-going monthly gift to WNAZ, there will be no need for you to renew your pledge. Periodically, we will contact you by letter to ask if you wish to make any changes to your pledge. Of course, you may contact us at any time if you wish to increase, decrease, or discontinue your pledge. &nbsp;<br />');
document.writeln('<br />');
document.writeln('We will also send you a receipt each time you make a donation to WNAZ. Please hang on to your receipts for your tax records. If you would like for us to hold on to your monthly receipts and send only one at the end of the year, please let us know.<br /><br clear="all">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body" style="text-align:left; border-style:none; ">');
document.writeln('    <div><strong>I will make an On-Going Monthly Commitment</strong><br clear="all">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body" style="text-align:right; width:100%; margin:0px; float:left; ">');
document.writeln('    <div style="text-align:right; width:150px; float:left;">');
document.writeln('      <label class="label" for="Monthly_Pledge">Monthly Gift:</label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="float:left; ">');
document.writeln('      <div class="sitemason_body">');
document.writeln('        <input type="radio" name="Monthly_Pledge" value="$10">$10</div>');
document.writeln('      <div class="sitemason_body">');
document.writeln('        <input type="radio" name="Monthly_Pledge" value="$15">$15</div>');
document.writeln('      <div class="sitemason_body">');
document.writeln('        <input type="radio" name="Monthly_Pledge" value="$20">$20</div>');
document.writeln('      <div class="sitemason_body">');
document.writeln('        <input type="radio" name="Monthly_Pledge" value="$30">$30</div>');
document.writeln('      <div class="sitemason_body">');
document.writeln('        <input type="radio" name="Monthly_Pledge" value="$50">$50</div>');
document.writeln('      <div class="sitemason_body">');
document.writeln('        <input type="radio" name="Monthly_Pledge" value="Other">Other:</div>');
document.writeln('      <input type="hidden" name="Monthly_Pledge">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body" style="width:100%; margin:0px; float:left; ">');
document.writeln('    <div style="text-align:right; width:100px; float:left;">');
document.writeln('      <label class="label" for="monthly_other">Other Monthly Gift Amt:</label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="margin-left:6px; float:left; ">');
document.writeln('      <input type="text" style="width:100px; " name="monthly_other">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('  <div align="center" style="clear: both;" class="sitemason_body">');
document.writeln('				&nbsp;<br>');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body" style="text-align:left; border-style:none; margin-bottom:14px; ">');
document.writeln('    <div><font size="3"><span style="font-weight: bold;">CD of the Month Club</span></font><br />');
document.writeln('For a gift of $30 or more per month, you can join the <span style="font-weight: bold;">WNAZ CD of the Month Club</span>. As a club member, you can look forward to receiving music featuring WNAZ\'s hottest artists. WNAZ will send your CD along with the tax receipt of your gift each month. If you wish to be a part of the WNAZ CD of the Month Club, make sure your pledge amount is $30 or more per month and sign up here! <span style="font-style: italic;">Because you will receive a CD in exchange for your gift, a small portion of your gift is not tax-deductible.</span><br clear="all">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body" style="float:left; ">');
document.writeln('    <div align="left" class="value" style="float:left; ">');
document.writeln('      <div class="sitemason_body">');
document.writeln('        <input type="checkbox" name="CDmonth" value="YES! Sign me up in the WNAZ CD of the Month Club!">YES! Sign me up in the WNAZ CD of the Month Club!</div>');
document.writeln('      <input type="hidden" name="CDmonth">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('  <div class="sitemason_body" style="&#10;&#9;&#9;&#9;clear: both;&#10;&#9;&#9;&#9;">');
document.writeln('    <hr noshade style="height:1px;" width="100%">');
document.writeln('  </div>');
document.writeln('  <h2 class="sitemason_header" style="border-style:none; padding-top:1px; padding-bottom:1px; padding-right:5px; padding-left:5px; margin-top:6px; margin-bottom:6px; margin-right:8px; margin-left:8px; ">');
document.writeln('    <a name="SPECIAL_GIFT"></a>SPECIAL GIFT</h2>');
document.writeln('  <div class="sitemason_body" style="text-align:left; border-style:none; margin-bottom:14px; ">');
document.writeln('    <div>When you make a special gift pledge to WNAZ, you don&rsquo;t have to send the entire amount all at once.&nbsp; You can send in various amounts throughout the year to fulfill your pledge.<br />');
document.writeln('<br />');
document.writeln('We will occasionally send you updates concerning your pledge.&nbsp; We will also send you a receipt each time you make a donation to WNAZ. Please hang on to your receipts for your tax records.<br clear="all">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body" style="text-align:left; border-style:none; ">');
document.writeln('    <div><strong>I will make a Special Gift Commitment<br /></strong><br clear="all">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body" style="float:left; ">');
document.writeln('    <div style="text-align:right; width:150px; float:left;">');
document.writeln('      <label class="label" for="Special_Gift">Special Gift:</label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="float:left; ">');
document.writeln('      <div class="sitemason_body">');
document.writeln('        <input type="radio" name="Special_Gift" value="$10">$10</div>');
document.writeln('      <div class="sitemason_body">');
document.writeln('        <input type="radio" name="Special_Gift" value="$25">$25</div>');
document.writeln('      <div class="sitemason_body">');
document.writeln('        <input type="radio" name="Special_Gift" value="$50">$50</div>');
document.writeln('      <div class="sitemason_body">');
document.writeln('        <input type="radio" name="Special_Gift" value="$100">$100</div>');
document.writeln('      <div class="sitemason_body">');
document.writeln('        <input type="radio" name="Special_Gift" value="$250">$250</div>');
document.writeln('      <div class="sitemason_body">');
document.writeln('        <input type="radio" name="Special_Gift" value="$500">$500</div>');
document.writeln('      <div class="sitemason_body">');
document.writeln('        <input type="radio" name="Special_Gift" value="$1000">$1000</div>');
document.writeln('      <div class="sitemason_body">');
document.writeln('        <input type="radio" name="Special_Gift" value="Other">Other:</div>');
document.writeln('      <input type="hidden" name="Special_Gift">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('  <div class="sitemason_body" style="width:100%; margin:0px; float:left; ">');
document.writeln('    <div style="text-align:right; width:100px; float:left;">');
document.writeln('      <label class="label" for="special_amount">Other Special Gift Amt:</label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="margin-left:6px; float:left; ">');
document.writeln('      <input type="text" style="width:100px; " name="special_amount">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('  <div class="sitemason_body" style="&#10;&#9;&#9;&#9;clear: both;&#10;&#9;&#9;&#9;">');
document.writeln('    <hr noshade style="height:1px;" width="100%" align="center">');
document.writeln('  </div>');
document.writeln('  <h2 class="sitemason_header" style="border-style:none; padding-top:1px; padding-bottom:1px; padding-right:5px; padding-left:5px; margin-top:6px; margin-bottom:6px; margin-right:8px; margin-left:8px; ">');
document.writeln('    <a name="GIFT_PAYMENT_OPTIONS"></a>GIFT PAYMENT OPTIONS</h2>');
document.writeln('  <div class="sitemason_body" style="text-align:right; width:100%; margin:0px; float:left; ">');
document.writeln('    <div align="left" class="value" style="">');
document.writeln('      <div class="sitemason_body">');
document.writeln('        <input type="radio" name="Payment" value="Check"><b>CHECK:</b> Use the postage-paid envelope included with your tax receipt to return your gift to WNAZ. Or mail your gift to WNAZ, 333 Murfreesboro Road, Nashville, TN 37210.</div>');
document.writeln('      <div class="sitemason_body">');
document.writeln('        <input type="radio" name="Payment" value="Debit"><b>ELECTRONIC FUNDS TRANSFER:</b> We will send an enrollment form. This form of payment does represent an on-going monthly commitment terminated only by written request. Funds are deducted from your checking/savings account on the 16th of each month. </div>');
document.writeln('      <input type="hidden" name="Payment">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <div align="center" style="clear: both;" class="sitemason_body">');
document.writeln('				&nbsp;<br>');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body" style="&#10;&#9;&#9;&#9;clear: both;&#10;&#9;&#9;&#9;">');
document.writeln('    <hr noshade style="height:1px;" width="100%">');
document.writeln('  </div>');
document.writeln('  <h2 class="sitemason_header" style="border-style:none; padding-top:3px; padding-bottom:3px; padding-right:3px; padding-left:3px; margin-top:6px; margin-bottom:6px; margin-right:6px; margin-left:6px; ">');
document.writeln('    <a name="ADDRESS_INFORMATION"></a>ADDRESS INFORMATION</h2>');
document.writeln('  <div class="sitemason_body" style="text-align:left; width:50%; margin:0px; float:left; ">');
document.writeln('    <div style="text-align:right; width:25%; float:left;">');
document.writeln('      <label class="label" for="first_name">First Name</label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="margin-left:6px; float:left; ">');
document.writeln('      <input type="text" style="width:160px; " name="first_name">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('  <div class="sitemason_body" style="width:50%; margin:0px; float:left; ">');
document.writeln('    <div style="text-align:right; width:25%; float:left;">');
document.writeln('      <label class="label" for="last_name">Last Name</label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="margin-left:6px; float:left; ">');
document.writeln('      <input type="text" style="width:160px; " name="last_name">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('  <div class="sitemason_body" style="width:50%; margin:0px; float:left; ">');
document.writeln('    <div style="text-align:right; width:25%; float:left;">');
document.writeln('      <label class="label" for="address_1">Address</label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="margin-left:6px; float:left; ">');
document.writeln('      <input type="text" style="width:225px; " name="address_1">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('  <div class="sitemason_body" style="width:50%; margin:0px; float:left; ">');
document.writeln('    <div style="text-align:right; width:25%; float:left;">');
document.writeln('      <label class="label" for="address_2">Apt #/PO Box</label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="margin-left:6px; float:left; ">');
document.writeln('      <input type="text" style="width:80px; " name="address_2">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('  <div class="sitemason_body" style="width:50%; margin:0px; float:left; ">');
document.writeln('    <div style="text-align:right; width:25%; float:left;">');
document.writeln('      <label class="label" for="city">City</label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="margin-left:6px; float:left; ">');
document.writeln('      <input type="text" style="width:120px; " name="city">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body" style="width:25%; margin:0px; float:left; ">');
document.writeln('    <div style="text-align:right; float:left;">');
document.writeln('      <label class="label" for="state">State</label>');
document.writeln('    </div>');
document.writeln('    <div class="value" align="left" style="margin-left:6px; float:left; ">');
document.writeln('      <select name="state">');
document.writeln('        <option value="AL">AL</option>');
document.writeln('        <option value="AK">AK</option>');
document.writeln('        <option value="AZ">AZ</option>');
document.writeln('        <option value="AR">AR</option>');
document.writeln('        <option value="CA">CA</option>');
document.writeln('        <option value="CO">CO</option>');
document.writeln('        <option value="CT">CT</option>');
document.writeln('        <option value="DE">DE</option>');
document.writeln('        <option value="DC">DC</option>');
document.writeln('        <option value="FL">FL</option>');
document.writeln('        <option value="GA">GA</option>');
document.writeln('        <option value="HI">HI</option>');
document.writeln('        <option value="ID">ID</option>');
document.writeln('        <option value="IL">IL</option>');
document.writeln('        <option value="IN">IN</option>');
document.writeln('        <option value="IA">IA</option>');
document.writeln('        <option value="KS">KS</option>');
document.writeln('        <option value="KY">KY</option>');
document.writeln('        <option value="LA">LA</option>');
document.writeln('        <option value="ME">ME</option>');
document.writeln('        <option value="MD">MD</option>');
document.writeln('        <option value="MA">MA</option>');
document.writeln('        <option value="MI">MI</option>');
document.writeln('        <option value="MN">MN</option>');
document.writeln('        <option value="MS">MS</option>');
document.writeln('        <option value="MO">MO</option>');
document.writeln('        <option value="MT">MT</option>');
document.writeln('        <option value="NE">NE</option>');
document.writeln('        <option value="NV">NV</option>');
document.writeln('        <option value="NH">NH</option>');
document.writeln('        <option value="NJ">NJ</option>');
document.writeln('        <option value="NM">NM</option>');
document.writeln('        <option value="NY">NY</option>');
document.writeln('        <option value="NC">NC</option>');
document.writeln('        <option value="ND">ND</option>');
document.writeln('        <option value="OH">OH</option>');
document.writeln('        <option value="OK">OK</option>');
document.writeln('        <option value="OR">OR</option>');
document.writeln('        <option value="PA">PA</option>');
document.writeln('        <option value="RI">RI</option>');
document.writeln('        <option value="SC">SC</option>');
document.writeln('        <option value="SD">SD</option>');
document.writeln('        <option value="TN" selected>TN</option>');
document.writeln('        <option value="TX">TX</option>');
document.writeln('        <option value="UT">UT</option>');
document.writeln('        <option value="VT">VT</option>');
document.writeln('        <option value="VA">VA</option>');
document.writeln('        <option value="WA">WA</option>');
document.writeln('        <option value="WV">WV</option>');
document.writeln('        <option value="WI">WI</option>');
document.writeln('        <option value="WY">WY</option>');
document.writeln('      </select>');
document.writeln('    </div>');
document.writeln('    <input type="hidden" name="state">');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body" style="width:25%; margin:0px; float:left; ">');
document.writeln('    <div style="text-align:right; float:left;">');
document.writeln('      <label class="label" for="zip">Zip</label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="margin-left:6px; float:left; ">');
document.writeln('      <input type="text" style="width:72px; " name="zip">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('  <div class="sitemason_body" style="width:50%; margin:0px; float:left; ">');
document.writeln('    <div style="text-align:right; width:25%; float:left;">');
document.writeln('      <label class="label" for="email">Email</label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="margin-left:6px; float:left; ">');
document.writeln('      <input type="text" style="width:225px; " name="email">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('  <div class="sitemason_body" style="width:50%; margin:0px; float:left; ">');
document.writeln('    <div style="text-align:right; width:25%; float:left;">');
document.writeln('      <label class="label" for="phone">Phone</label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="margin-left:6px; float:left; ">');
document.writeln('      <input type="text" style="width:120px; " name="phone">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('  <div class="sitemason_body" style="text-align:left; border-style:none; ">');
document.writeln('    <div>Your name will be added to our mailing list for quarterly statements concerning your pledge. Occasionally we will send out other special mailings, but your name/address will NOT be sold.<br clear="all">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <div align="center" style="clear: both;" class="sitemason_body">');
document.writeln('				&nbsp;<br>');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body" align="center" style="text-align:center; ">');
document.writeln('    <input type="submit" name="button" value="Submit">');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('</div>');
document.writeln('');
document.writeln('				</td>');
document.writeln('			</tr>');
document.writeln('			</table>');
document.writeln('		</form>');
