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

I wish to talk to someone about naming opportunities

I wish for my pledge to remain anonymous

This Pledge is in honor of

This Pledge is in memory of

Please list my/our names as

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*

Date*

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