2. Name
4. Address
6. City
7. State
8. Zip Code
10. Phone Number
11. Fax Number
13. Amount Given
14. Date
    Date
16. Gift Type

    1. Honorarium
    2. Memorial
    3. West Branch
    4. Other
17. Donation in the Name of:
19. For Honorarium or Memorial
    List the name and address of the person to receive the acknowledgment of gift.
21. Name
23. Address
25. City
26. State
27. Zip Code
29. Thank You
    We thank you for your gift, which allows the library to add special items to the collection that can be enjoyed for many years. Please send this form along with your donation to:
    Pam Nance, Rowan Public Library
    201 W Fisher Street
    Salisbury, NC 28145
    
    You may call 704-216-8231 with any questions.
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30. Print Only

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