Library Donation Form

I want to support the Mamaroneck Public Library, a vital community resource providing access to information and knowledge for all.

Enclosed is my tax-deductible contribution made payable to The Mamaroneck Public Library: ___$25  ___$50  ___$100  ___$250  ___$500 ___$1,000  ___$1,500  ___   I prefer to give $ _____

___My company will match my gift.

Name(s):_____________________________
Address:_____________________________
City/State/Zip Code:________________________________
Phone: (Home)__________________(Cell)________________
Email:_____________________________________________

I wish to charge my contribution.

Donation Amount:_______________

Name on card:_____________________
Credit Card Number:________________________
Expires: (Month/Year)______________________
V code number:_________________3 digit usually on back of card
4 digit on front for AMEX billing_________________________

Billing:

Name:________________________________________
Address:_____________________________________
City/State/Zip Code:___________________________________
Phone:______________________
Signature:_____________________________

The Mamaroneck Public Library thanks you for your support!