Kids Club Membership Form

OPT is donor-supported television. Everything we do—from educational services to community events, from award-winning local productions to signature PBS programs—is possible because of viewers like you. Thank you for your generosity and support.

Please keep an eye out for the the link to fill out the Kids Club Registration page in the confirmation messages after submitting your gift.

Your Information

First Name *

Last Name *

E-mail address *

Country *

Address *

Address Line 2

City *

State/Province *

ZIP/Postal Code *

Payment Details

Checking Account or Credit Card Authorization

I authorize Ozarks Public Television 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 Ozarks Public Television that I wish to change or end this agreement. Ozarks Public Television may be reached by phone at (417) 836-3500 or by email at mail@OPTV.org

I agree.

Payment Method *

Credit Card

Checking Account

Credit card number

Expiration date

CVV

Account type

Routing number

Account number

Your gift is very much appreciated and may be tax deductible pursuant to IRC §170(c). A copy of our latest financial report may be obtained at https://www.optv.org/