Thank you for choosing to support Ocean State Media Kids Club!

New Kids Club members receive a special welcome kit in the mail, plus so much more!

You can view all the benefits of being a Kids Club member by clicking the link here.

Please select your gift amount: *

$20.00 Kids Club Membership - One Child

$40.00 Kids Club Membership - Two Children

$60.00 Kids Club Membership - Three Children

Other

(minimum $20.00)

Your Information

First Name *

Last Name *

E-mail address *

Country *

Address *

Address Line 2

City *

State/Province *

ZIP/Postal Code *

Please enter in your child's Kids Club information below

Child #1 Name *

Child #1 Birthday *

Month

Day

Year

Child #2 Name

Child #2 Birthday

Month

Day

Year

Child #3 Name

Child #3 Birthday

Month

Day

Year

Payment Details

Checking Account or Credit Card Authorization

I authorize Ocean State Media 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 will continue at the selected frequency until I notify Ocean State Media that I wish to change or end this agreement. Ocean State Media can be reached by phone at (401) 222-3636 or by email at membership@oceanstatemedia.org.

I agree.

Payment Method *

Credit Card

Checking Account

Credit card number

Expiration date

CVV

Account type

Routing number

Account number

Information about Ocean State Media may be obtained by writing to 50 Park Lane, Providence, RI, 02907. Your contribution may be tax deductible pursuant to IRC §170(c).