Annual Appeal Donation
Name_________________________________________________________
____ I wish to remain anonymous.
Address_______________________________________________________
City_________________________State_______Zip____________________
Phone_________________________________________________________
E-mail_________________________________________________________
| ___ | $5,000 | ___ | $250 |
| ___ | $1,000 | ___ | $100 |
___ |
$500 |
___ | $50 |
$____________________ Other gift
amount |
| _____ | Check enclosed made out to Westport Public Library | ||||
| _____ | Charge my gift to | _____ | MasterCard | _____ | Visa |
| Card # | ________ - ________ - ________ - ________ | |||
| Exp. Date | ____ /____ | |||
| Name on Card | ________________________________________ | |||
| Signature | ________________________________________ | |||
___ I am enclosing a matching gift form.
___ I would like to make a gift of appreciated stock. More Information>>
Contributions are tax-deductible as provided by law. Westport Library is a registered 501(c) (3) cultural organization.
Mail to:
Westport Public Library
20 Jesup Road
Westport, CT 06880
dcelia@westportlibrary.org