YES, I support the Pike County Public Library
Enclosed is my tax deductible gift of:
$10
$25
$50
$100
$250
$500
$1,000
Other $____________
Yes, I would like to participate in the Library By Mail program. (* Required information)
Name: (please print)
*
Mailing Address:
Address:
* If mailing address is a P.O. Box number, include your street address.
City:
State:
Zip:
Township:
Telephone:
E-mail:
Please indicate below if you would like your gift to be directed to:
Please make your tax deductible check payable to: Pike County Public Library
Mail to: Pike County Public Library 201 Broad Street Milford, PA 18337
Note: If your employer has a matching gift program, please ask your company to match your contribution.
Print this form to mail in with payment.
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