Portsmouth Public Library Foundation Contribution Form

Contribution Form

Please use my tax-deductible gift of for:

Active Fund: Your entire donation will be spent to meet current needs.
Specific funds (Please select one):	General Library	McMurran Fund	Staff Training
Specific funds (Please select one):	New Churchland Branch	Emergent Literacy	Computers

Name & Address of person donating:

Phone: Email:

If this is a commemorative gift:

IN HONOR OF:

IN MEMORY OF:

NAME:

If you would like us to inform the honoree or family, in the case of a memorial, of your
gift, please include the address to which you would like the notification sent here:
   Name:
Address:
Address:
              Please contact me about planned giving options.

Please print this page and mail it with your check payable to:
Portsmouth Public Library Foundation, 601 Court Street, Portsmouth, VA 23704
Phone: (757) 393-8501, http:// www.portsmouthpubliclibrary.org/foundation.htm

Last updated: 03.27.08 11:40 AM