The Libri Foundation

P.O. Box 10246
Eugene, OR 97440

DONATION FORM

Every dollar contributed to The Libri Foundation enables it to donate one dollar's worth of new, quality, hardcover children's books to a small, rural public library.

You may fill out the following information on your computer and then print it off. The TAB key should take you to the next line on the form.
Dr./Mr./Mrs./Ms.
Name
Street/P.O. Box
City, State, Zip
Email (optional)
Yes, I would like to support the work of The Libri Foundation. I enclose my monthly, quarterly, annual contribution of:
$25     $35     $50     $75     $100   $125   $150   $200   $250     Other

Yes, I would like to contribute to the Foundation's Endowment Fund. I enclose my contribution of:

Yes, I would like to be a Named Sponsor of The Libri Foundation. I enclose my contribution of:
$700 (1 library)     $1,400 (2 libraries)     $2,100 (3 libraries)     Other

As a Named Sponsor, I would like the following name(s) inscribed on the bookplates:
In Honor of     In Memory of     To Celebrate     Name Only (no dedication)

Please use my contribution in the following state(s) -or- Where Needed

Please make your check payable to: The Libri Foundation and mail to: P.O. Box 10246, Eugene, OR 97440-2246. All contributions to The Libri Foundation are tax-deductible to the fullest extent allowed by law.

Please Note: The Libri Foundation does not employ a professional fund-raiser nor does it share or sell the names of its contributors. The Libri Foundation does not send repeated appeals for money to its donors nor does it spend their money on "gifts," such as address labels, calendars, greeting cards, and other such items. The Libri Foundation uses the money it receives to donate new, quality, hardcover children's books to rural public libraries for the enrichment of their young readers.

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© 1996-2007 The Libri Foundation, a non-profit organization exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code.