Essex Library Association
Yes! I/We want to support the Annual Operating Fund
(You may print out the following form and mail to the library at 33 West Ave, Essex, CT, 06426)
Enclosed is my gift of:
□ $2,500 □ $1,000 □ $500 □ $250 □ $100 □ $50 □ $25 □ Other
Please make check payable to the Essex Library Association
OR you may charge your gift: □ Master Card □ Visa
Credit Card # Exp. Date
Signature
Check any of the following options which are applicable
□ I/We wish this gift to be anonymous
□ My/Our gift will be made through securities – Please contact the Essex Library for information about making gifts of securities.
□ My company (or my spouse’s company) will match my gift. A matching gift form is enclosed.
□ I/We would like information about making a gift through a bequest, trust, or annuity.
Name:
Address:
City/ State/ Zip:
Telephone: