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:
| Professional Development Fund | $_______________ |
| Innovative Programming Fund | $_______________ |
| Advocacy Fund | $_______________ |
| Board Strategic Plan Initiative Fund | $_______________ |
| William Moffett Memorial Fund | $_______________ |
| RBMS Scholarship Fund | $_______________ |
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!