Home Give to ACRL Friends Form

ACRL Friends Program Donation Form

Name_________________________________________________________________

Address________________________________________________________________

City, State, Zip__________________________________________________________

Phone__________________________________________________________________

E-mail: ________________________________________________________________

Enclosed is my donation of $________________________________________________

Check the Club that corresponds with your donation:
   Patrons ($1,000 and over)
   Sponsors ($500-$999)
   Contributors ($250-$499)
   Associates ($100-$249)
   Friends (Less than $100)
   I am making a gift as an honorary or memorial tribute. If you check this box, please provide the individual's name, indicate if it is a honor or memorial gift, and include an appropriate address if you would like a gift acknowledgment sent to the individual or their family.

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

Choose which Funds you wish to support and how your donation should be distributed:

   Check enclosed (Please make checks payable to the American Library Association)
   Am. Ex.            VISA            MC

Account number________________________________

Exp. Date_________

Signature______________________________________

Mail your donation to:

The Friends of ACRL
Association of College & Research Libraries
50 E. Huron Street
Chicago, IL 60611-2795

Thank you for becoming a Friend!