Membership / Donation Form - The Washington and Lee University

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Friends of the Library Membership / Donation Form
Please accept my tax-deductible donation of:
⃝ New Membership
⃝ Gift Membership
⃝ Renewal
$_________________________
I would like to make an additional donation to support the Library’s collections:
$_________________________
I would like to make an additional donation to support the renovation of the Special Collections & Archives department:
$_________________________
TOTAL
$_________________________
⃝ Find my enclosed check (payable to Friends of the Library) Please send this form and check to:
Friends of the Library, Leyburn Library, Washington and Lee University, 204 W. Washington Street, Lexington, VA 24450
⃝ Charge my credit card:
⃝ Discover
⃝ Mastercard
⃝ VISA
Credit card number _______________________________ Expiration Date________________ Phone number__________________________
Name as it appears on the card_____________________________________ Signature ____________________________________________
Your information
Name________________________________________________________________ If alum, your graduation year______________
Address______________________________________________________________
City__________________________________________State____________________ Zip code_______________________________
Email address___________________________________________________________
The Friends of the Library is immensely grateful for your support.
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