Support WQPT

Simple, Safe and Secure

Completing an online donation, is simple, safe and secure.
This page is secured. The information you submit is
encrpyted during transmission.

If you would prefer to donate over the telephone,
simply call 309/764-2400 during normal business
hours or toll-free at 1-800/796-2430.

You may also download our donation form
and simply drop it in the mail.

Your Membership Selection

You have selected:

WQPT Studio Society Membership

Your order total is: $250

Simply complete the following to submit your order.

1. Your Contact Information

Name
Street Address
City
State
Zip Code
Daytime Telephone Number - -
Email Address (optional)

2. Your Payment Method
Credit Card
  Card Type
  Credit Card #
  Credit Card CVV
(What is this?)
  Exp Month   Exp Year 
Name on Credit Card
if different from above
Billing Address
if different from above
City
State
Zip Code
Please bill me.

3. Additional Options
My employer will match my annual gift amount.
Please contact me.
I'm interested in volunteering for WQPT.
Please contact me.
I would like my gift/membership to be in the name of:
Yes, I would like to get e-mail updates on exciting new programs, online features, schedule information, special
offers and events, and more... only from WQPT.

Email address (if not indicated above):

4. Submit Your Donation