I/We would like to invest in the future and help New Hartford Public Library’s building campaign reach its goal of $2,000,000.

 

Name(s)__________________________________________________

would like to donate the following amount    $__________________

Address__________________________________________________

Paid in full $______________________________________________

Or in multi-year payments as follows

$ _________________in month ________________________of 2006

$__________________in month ________________________of 2007

$__________________in month ________________________of 2008

Other Payment Schedule_____________________________________

Matching Gifts provided by___________________________________

Payment (check one) ❏ Visa ❏ Mastercard

Account # ____________________________Exp_________________

Name as it appears on card___________________________________

Signature__________________________________________________

 

This gift is in  Memory of  ❏ or Honor of  ❏

____________________________________________________

____________________________________________________

Levels of Support

Diamond

$500,000 and up

Benefactor

$100,000 to $499,999

Gold Leader

$50,000 to $99,999

Silver Leader

$10,000 to $49,999

Bronze Leader

$1,000 to $9,999

Sponsor

$100 to $999

Friend

$100

Thank you for your support.

You will be recognized as a  library builder  in our literature, or you may prefer to remain  anonymous.  (please circle one)

 

Signature_____________________________________________