DONOR FORM I would like to support the Vernon Area Public Library District ___________________________________________________ Name ___________________________________________________ Address

Enclosed is my gift of:  $

________________________________________________

 In Memory of: _______________________________________  In Honor of:__________________________________________

___________________________________________________ City, State, Zip

 Send notification of this gift to: ________________________________________________ ________________________________________________

___________________________________________________ Telephone ___________________________________________________ Email

Use my gift to support (optional):  Books & Collection Materials Optional:

Please send my acknowledgement letter:  Electronically via Email

 Youth

 Teen

 Adult

 Teen

 Adult

 Library Programs Optional:

 Paper via US Mail

 Youth

 Building Improvements  Where it is needed most

Internal Routing:  HR & Finance

 Adult Services

 Youth Services

 Technical Services

 Building Services

DONOR FORM.pdf

Page 1 of 1. Internal Routing: HR & Finance Adult Services Youth Services Technical Services Building Services. DONOR FORM. I would like to support the Vernon Area Public Library District. Name. Address. City, State, Zip. Telephone. Email. Please send my acknowledgement letter: Electronically via Email ...

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