Donation Form

Enclosed Donation:    $_____________________________________________________

Signature:_________________________________________________________________

Name:____________________________________________________________________

Address:__________________________________________________________________

City:______________________________________________________________________

State:____________________Zip:_____________________________________________

Phone:____________________________________________________________________

Email:_____________________________________________________________________

Please print out this form and return it with your gift to:

Friends of the Roslyn Library
Building Renovation Fund
P.O. Box 399
Roslyn, WA  98941

Contributions should be made out to the Friends of the Roslyn Library Building Renovation Fund and are deductible to the extent allowable by law. The Friends of the Roslyn Library is a 501(c)(3) nonprofit organization.  For more information, contact Erin Krake, Roslyn librarian, by telephone at (509) 649-3420 or by email at rpl@inlandnet.com.