New Building Donation Form

PLEDGE CARDS

$50,000 Special Gift N

$25,000 Founding Gift N

$10,000 Supporting Gift N

$5,000 Contributing Gift N

$2,500 Family Gift N

I/We pledge the sum of $_____________ to the Darien Library New Building Fund. My/Our payment will be made as follows: 2007

$_____________

2008

$_____________

Total

$_____________

My/Our gift will be matched by _______________________ __________________________________________________

R is enclosed R will follow.

The matching gift form

Names(s) __________________________________________ Preferred name for recognition

________________________________

Address ___________________________________________

To make a stock transfer, please use the following instructions:

City _____________________________________________

Library’s account number 81N04067, DTC #5198 Merrill Lynch & Company 19 Old King’s Highway South Darien, CT 06820 Merrill Lynch’s phone number: (203) 662-5505

Phone ____________________________________________

State ________________ Zip__________________________ Email _____________________________________________ Donor’s Signature ___________________________________

Other

Version 1

$10,000 Supporting Gift

I/We pledge the sum of $_____________ to the Darien Library New Building Fund.

N

$5,000 Contributing Gift

My/Our payment will be made as follows: 2007

$_____________

N

2008

$_____________

$2,500 Family Gift

Total

$_____________

N

$1,000 Patron N

$500 Donor N

My/Our gift will be matched by _______________________ __________________________________________________ The matching gift form

R is enclosed R will follow.

Names(s) __________________________________________ Preferred name for recognition

________________________________

Address ___________________________________________

To make a stock transfer, please use the following instructions:

City _____________________________________________

Library’s account number 81N04067, DTC #5198 Merrill Lynch & Company 19 Old King’s Highway South Darien, CT 06820 Merrill Lynch’s phone number: (203) 662-5505

Phone ____________________________________________

State ________________ Zip__________________________ Email _____________________________________________ Donor’s Signature ___________________________________

Other

Version 2

I gave to the Library’s New Building Fund because

! W E N

Darien Library

Back

#9 RETURN ENVELOPE

Darien Library 35 L eroy avenue Darien, CT 06820-4497

m eLissa PeDersen Darien Library 35 L eroy avenue Darien, CT 06820-4497

onCe in a LifeTime a CommuniTy buiLDs a Library