A Library for Everybody Pledge Form

I/We PLEDGE to support the "A Library For Everybody" Capital Campaign for the Elk Rapids District Library.
Name*

First NameLast Name
Address*
City*
State*
Zip*
I have a seasonal address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone*
Email*
example@example.com
I am a member of

The Friends of the Elk Rapids LibraryThe Rotary Club of Elk Rapids
I pledge to give a total of*
The way I will give:

One time giftIn installments for up to three yearsI wish to donate appreciated securities or stocksOther
This Pledge is in honor of
This Pledge is in memory of
Please list my/our names as
I wish for my pledge to remain anonymous
This is a statement of intent and may be altered as circumstances warrant.

I understand my contribution is tax deductible to the full extent of the law.
Signature*

Clear
Date*

MonthDayYear
Date
Please make your checks payable to Elk Rapids District Library and write "A Library for Everybody" in the note section.

Mail your pledge to: Elk Rapids District Library 300 Isle of Pines Dr, Elk Rapids, MI 49629
Should be Empty: