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Foundation Donation Form
Please print and mail this form with your donation to:
Foundation Executive Director
Worcester Public Library Foundation
3 Salem Square
Worcester, MA 01608
My/Our donation to the Library Foundation is $__________________
City:_______________State: ________ Zip Code: ___________
Gifts may be made to the Library in honor or in memory of a person, to celebrate a family event or to mark any special occasion.
This gift is in memory of :__________________________________
This gift is in honor of:_____________________________________
on the occasion of_______________________________________
Please notify: _____________________________________ of my gift.
Their address: _________________________________________________
City: ______________________State: ____ Zip: ___________
contribution is tax-deductible to the extent
provided by law.
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