South Central Regional Library Council

Gift Type

		Type of Card	First Name *	Last Name *
gift_type1 gift_type1	A gift to honor or remember	type_of_card	first_name	last_name
		First Name *	Last Name *	Address *
	Please send card to:	send_first_name	send_last_name	send_address

gift_type2 gift_type2	A general gift

Gift Amount

How much would you like to give? *

gift_amount

$25

$50

$75

$100

$250

Other

Where would you like to designate your gift?

gift_degignation

Note: If SCRLC cannot continue its support of the Renaissance Island/Virtual Worlds initiative, donations received may be directed to the General Fund.

Acknowledgement & Recognition

Donations to SCRLC are fully tax deductible; an email receipt for your tax records will be sent when your submission is complete.

All contributions will be recognized in our e-newsletter and appropriately displayed in our office.

please_not_include

Please recognize my name and amount of gift

Please recognize my name but not the amount of my gift

I prefer to be announced as an anonymous giver

Billing Information

First Name *

M.I.

Last Name *

b_first_name

b_mi

b_last_name

Telephone *

Email *

b_telephone

b_email

Address Line 1 *

b_address1

Address Line 2

b_address2

City *

State/Province *

Postal Code *

Country *

b_city

b_state

b_zip

b_country

Captcha code/Security Code

*

Payment Information

Payment Type *	Account Number *	Expiration Month *	Expiration Year *	CCV/CCV2 *
payment_type	account_number	expiration_month	expiration_year	ccsec

Prefer to pay by check? Please fill out form, print, and send by mail to:

SCRLC, 1300 Dryden Road, Ithaca, NY 14850

Cancellation/Refund Policy Privacy Policy

South Central Regional Library Council Page

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South Central Regional Library Council Page

Donate

Contact Us

External Document links