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I authorize WVIA 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 WVIA that I wish to change or end this agreement. WVIA can be reached by phone at (570) 602-1110 (M-F, 9-5).

The official registration and financial information of Northeastern Pennsylvania Educational Television Association may be obtained from the Pennsylvania Department of State by calling toll free, within Pennsylvania, 1-800-732-0999. Registration does not imply endorsement.

Northeastern Pennsylvania Educational Television Association does business as WVIA Public Media