Virginia Public Library: Mail A Donation : Thank you for your generosity!

I have enclosed $____________ to purchase _______ item(s) at $15 per item for books or music, and $20 per item for movies. Please indicate your choice(s) below and make checks payable to Virginia Public Library.

BOOKS

Children's	Religion	Art
Business	Literature	Science
Adult Fiction	History	Adult Non-Fiction

MOVIES

Drama

Comedy

Animation

MUSIC

Classical	Jazz	Rap/Hip-Hop
Country	Pop
Folk	Rock

Please print your name, address, and phone number:

___________________________________________________________

___________________________________________________________

Please place the adopted item(s) on hold for me:

_____ Yes

_____ No

I wish to have my name included on the Library's published list of donors:

_____ Yes

_____ No

** Please print name exactly as you'd like it to appear: _________________________________________________

I wish to have a bookplate placed in the item(s) I adopt:

_____ Yes

_____ No

** Bookplate Inscription (please print): _________________________________________________

I wish to receive a charitable tax deduction form for my donation:

_____ Yes

_____ No

Virginia Public Library
215 5th Avenue South * Virginia, MN 55792