Please print (Ctrl+P) and fill in the form below in order to help us use your contribution in the way that most interests you.
This is my gift to benefit the entire community.
__$1000 __$500 __$200 __$100 __$50 __ $25 Other $_____
Please mark the selection(s) that you would like to see your donation used for:
___ to supplement the annual book and materials budget
___ to invest in the future through the endowment
___ to meet special library needs
___ to support the Monroe Library Legacy Fund
___ other
Please make checks payable to:
The Library Foundation
Name _____________________________________________________
Address ___________________________________________________
City, State, and Zip ___________________________________________
Phone Number ____________________
E-mail ___________________________
If you prefer to use a credit card instead of PayPal’s Credit or Debit option, please fill out the following information:
Credit Card number _________________________________________
Expiration Date:________________ 3-digit code on the back _________
Your Signature ______________________________________________
Please mail your donation to:
Corvallis-Benton County Public Library Foundation
645 NW Monroe Ave
Corvallis OR 97330
___ (optional) This gift is ___ in honor or ___ in memory of:
Name ______________________________________________
Please notify _____________________________ of this gift.
Address _______________________________________
City, State, and Zip _______________________________
___ I prefer to receive acknowledgement/tax receipt via e-mail
___ I would like to receive the “Check It Out” newsletter via e-mail
We appreciate your generosity!