Although I'm not sure what is meant by counted together -- for an individual, reward-wise, or for the Bay 12 Report? The Bay 12 Report is going to be a total of everything that came in that month from whatever source. Rewards from PayPal and Patreon are considered separately, and we're still considering how to best handle things like story continuations -- we haven't promised that people would get a new crayon art reward every month, though a few people have asked for clarification ($1/month wouldn't cover postage/materials in that case). At the same time, PayPal people get story continuations and so on.
Our priority is that absolutely everybody that wants a reward gets one, regardless of contribution amount, and we'll have to consider multiple rewards after that. So far, the number of reward requests we've received is manageable (kind of like a major release worth's), but we'll probably have to come up with some way to handle continuations that is fair to every kind of contribution type while still saving enough time for writing the game. We'll probably be in flux on this until we land on something decent, but it seems like satisfying the baseline one-time reward requirement is going to be straightforward, at least. Those are already in the pipeline for anybody whose first Patreon payment has cleared (I still have 100 pending that'll get their emails when they clear). We'll be sure to have any update posted well before the next cycle.