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Please print and mail this form with your donation to:

James L. Izatt, Head
Talking Book Library
c/o Worcester Public Library
3 Salem Square
Worcester, MA 01608

My/Our donation to the Library is $__________________(average book price: $30)
Please make your check payable to the Talking Book Library.

Name: _____________________________________________________

Address: _____________________________________________________

City:_______________State: ________ Zip Code: ___________

I/We would like this gift to be used for the purchase of books in the following subject area(s): ______________________________________________________

Gifts may be made to the Talking Book 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: ___________

Your contribution is tax-deductible to the extent provided by law

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