Your
gift will help fund materials for the newest
branch of the
Harford County Public Library. Thank you!
Please print this form
and mail it to the Foundation (contact
information below)
For ease of printing, you may want to try
this PDF
Version.
Donor Information
Name: ______________________________________________
( As it will appear in acknowledgements)
Address: _____________________________________________________________________________
City: ___________________________________________
State: ________ Zip: __________________
Phone: _______________________________ E-mail:
_______________________________________
Donation:
Buy a Book
I would like to buy ___ book(s) at $25.00 each
Total donation: ___________
Donation: Sponsorship
I would like to sponsor the follow item/collection
from the Abingdon Collection Sponsorship list
Item: ________________________________________________
Amount: _______________
Gift Information
My gift of $_______________ is enclosed (Please
make your check payable to the HCPL Foundation)
Or
Please bill my MasterCard/Visa # _______________________________
Exp. Date _______________
(circle one)
Name on Card ______________________________ Signature
__________________________
Matching
Gift ___ My company will match my gift.
The matching gift form is enclosed.
If this
gift is a memorial or tribute, please complete
the following:
In memory of: __________________________________________________________________
In honor of: __________________________________________________________________
Individual or family to be notified of your gift
(gift amount will not be disclosed)
Name: _____________________________________________________________________
Address: _____________________________________________________________________________
City: ___________________________________________
State: ________ Zip: _________________
Other Information
___ I would like to discuss other special giving
opportunities. Please call me.
___ I would like my gift to remain anonymous.
Please print and return to: Harford
County Public Library Foundation
1221-A Brass Mill Road
Belcamp, MD 21017
The Harford County Public
Library Foundation is a 501(c)3 non-profit organization
and all gifts are fully tax deductible to the
extent allowed by law. Information under the Maryland
Charitable Organizations can be obtained from
the Secretary of State at 410-974-5534.
