Library Aid Telethon

February 20, 2010

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Donor Information (please print or type)

Name*
Address*
City, State, Zip Code*
Telephone*
E-Mail

* required information

Pledge Information

I (we) pledge a total of $.

I (we) plan to make this contribution in the form of: cash check

This pledge is:

_________ for the Friends of the Nevada County Libraries (Western County)

_________ for the Friends of Truckee Library

The purpose of this fundraiser is to help maintain the publicly funded and operated County Library System that we currently enjoy. Pledges collected support that option.

You may thank me on-air during the telethon.

I (we) wish to have our gift remain anonymous.

Signature(s)

Date

If you’d like to send in your pledge early, please mail your check along with this pledge form by February 16^th to:

FOL

980 Helling Way

Nevada City, CA 95959

Attn: Library Aid Telethon

(Checks should be payable to FOL)

If you wish to call in during the telethon on February 20th, 3:00 pm – 9:00 pm, NCTV telephone numbers are: 478-6400 ext. 249, 250, 263 and 478-1174.:

The Friends of the Nevada County Libraries is a 501 (C) (3) organization. Our mission is to focus community attention on the continuing value of, and necessity for, a public library system as a cultural, educational, and recreational asset. Under Internal Revenue Service guidelines, you may be entitled to deduct the full value of your gift(s).