Dedication Message:*         *required fields

(Be sure to include the name of the person for whom you are making the dedication, and the occasion of the dedication.)

The date when you would like your dedication to appear:*

(LTTN is broadcast every second Wednesday.)

Please click to confirm your dedication message.*
Please fill in the following information:         
 
First Name:*
Last Name:*
Email address:*
Address where your credit card statement is mailed:*
Street:*
City:*
State:*
Zip:*
Country:*
Amount of dedication:*    USD$:

(minimum dedication is USD $120.00)

Credit card information:*
Credit Card type:* Visa American Express Diners Club Master Card
Credit Card Number:*
Expiration month:*
Expiration year:*
 
Please click to confirm credit card information:*

 

Note: If, after submitting your dedication request, you receive an "invalid request" message, this is simply caused by the antivirus or firewall settings on your computer. We recommend that you temporarily disable your antivirus or firewall software until you have completed the dedication process. Do not forget to reenable your antivirus software when you have finished.

 

(The information you submit is kept strictly confidential. See privacy policy)

If you would like to make your dedication by check, please click here.