Name: ______________________________
Address: ______________________________
City, State, Zip: ______________________________
E-mail address: ______________________________
I pledge the sum of $__________ to be paid:
| __ Quarterly |
__ Monthly |
__ Other _____ |
My first payment will be on ___________________
Please charge a one-time gift to my: __ VISA __ Master Card
Card # ______________________________
Exp Date ______________________________
Signature ______________________________
I would like you to charge my monthly gift ($10 minimum) I authorize my
bank or credit card company to charge my account each month for a period
of 12 months from today's date and to pay
FVRL Foundation the amount I indicated.
Card # ______________________________
Exp Date ______________________________
Signature ______________________________
|
I understand that this is an important
commitment. I know that plans are being made and that money is
being based on the expectation that I will pay this pledge in
the way I have described.
Signature ______________________________ |
For recognition purposes, I want to be recognize as:
__ For recognition purposes, I want to be recognize as:
_______________________________________
(fill in name as you wish it to appear)
__ I want my gift to be anonymous
Make checks payable to Friends of the Battle Ground Community Library
who are part of the Fort Vancouver Regional Library Foundation. FVRL
Foundation is a 501(c)(3) nonprofit organization meeting the
requirements of the Internal Revenue Code and the laws of the State of
Washington. Donations to the Friends of Battle Ground Community Library
are tax-deductible to the extent allowed by law.
Return this form to:
Friends of the Battle Ground Community Library
PO Box 2272
Battle Ground, WA 98604 |
