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Perpetual Book Fund Donor Form
(back to Perpetual Book Funds)
Please print out the form below and fill in the information. Return this form to Williamsburg Regional Library Foundation, c/o Benjamin J. Goldberg, 7770 Croaker Rd., Williamsburg, VA, 23188. Make checks payable to the Williamsburg Regional Library Foundation.
I. Your name: _____________________________________________________
Your address: _____________________________________________________
II. Enclosed is my check for $__________ to establish a Perpetual Book Fund in (circle one) memory/honor of _____________________________.
III. The fund should be known as the __________________________________
_______________________ Perpetual Book Fund (ex. John J. Doe Perpetual Book Fund).
IV. Library Materials purchased through this Fund should be shelved at the (check one): Williamsburg Library____ James City County Library____ Mobile Library Services ____
Best Location Determined by Staff ____
V. Formats for this Fund Can Include (check appropriate formats):
All Appropriate*____ Printed Materials____ Audio/visual____ Other____(*checking all appropriate formats allows the library the most flexibility in purchasing materials that compliment the existing and future library collections.)
VI. I wish the subject matter for this fund to be (Ex. mysteries, history, fiction, gardening, etc.) ________________________________________________________________
________________________________________________________________
Please use $____________of my donation (above the minimum $1000) for the immediate purchase of items in the name of this Perpetual Book Fund.
Special instructions or comments: _________________________________________________
__________________________________________________________________________
For more information please contact: Benjamin J. Goldberg
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