Pledge Form 

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I(we) wish to help the Chatsworth Township Library achieve its goal of expansion, I(we) will contribute:

_____ other     _____$25     _____$50     _____$100* Patron of the Day Program

_____$500**     _____$1,000**     **Recognition Plaque

*A $100 donation enables the donor to be recognized as the Patron of the Day. The patron chooses the date

with the submission of the contribution. This contribution may be in honor of someone or in memory of

someone and will be publicly recognized on the yearly calendar. Donors must designate if they choose to

be a Patron of the Day at the time of the donation.  All donations are tax deductible.

Name ______________________________   Address________________________________________

Phone_________________________             _______ I would like to volunteer to help at the Library