GIVE BACK TO GREEN BANK!

GREEN BANK LIBRARY BUILDING FUND

GREEN BANK PUBLIC LIBRARY

GREEN BANK WV 24944

Here’s my donation of: ___$25  ___$50  ___$100  ___$500 ___$1000 ___$5000  ___$10,000 $_____ other amount.

I pledge to donate:  ___$500  ___$1000  ___$2500  ___$5000 ___$10,000  $_____Other amount

I will pay my pledge over a period of ___1 ___2    ___3    ___4    ___5 years

Please send me a reminder:  ____quarterly  ____semi-annually  ____annually

(Example: a $1,000 pledge can be paid in quarterly payments of $50 for five years)

Name ________________________________ Phone ____________

Address __________________________________________________

Signature _________________________

Donation in honor/memory of: ________________________________________

Make check to: Pocahontas County Free Libraries – GB Fund

Mail to: Green Bank Library Building Fund, Green Bank Public Library, Green Bank WV 24944

All donations are fully deductible for purposes of federal and state taxation. Your donation will be publicly acknowledged, unless you request anonymity.

Donations of  $1,000 to $4,999 will be recognized by having the name of the donor (or another name designated by the donor) placed on a raised letter bronze plaque in the entryway.

Larger donations will be recognized by a customized plaque.

___ Check here if you wish your donation/pledge to be kept anonymous

___ Check here if you want your donation to be credited toward the total for your class at Green Bank High School as well: Class of ____________

HELP BUILD THE NEW LIBRARY

SUPPORT THE GOLD AND BLUE!