Donation Form
YES, I’m proud to be a continuing supporter of the Oakville Public Library!
Name: ____________________________________________________________________
Address (if changed): __________________________________________________________
City:_______________________ Province: ______________ Postal Code: ____________
Phone: H ( ) _______________________ B: (
) _______________________________
E-Mail: _____________________________________________________________________
I prefer to be contacted by:
 Mail
 Email
My gift is in memory of: _________________________________________________________
Please check this box if you would like to be publicly acknowledged as an Oakville Public Library
Donor. If you do not check this box, you will not be publicly acknowledged.
My contribution of (please choose one of the payment options below):
( ) $25
( ) $35
( ) $50
( ) $75
( ) $100
( ) $150
( ) $200
( ) Please accept my donation of $______________________________
( ) Please accept my monthly donation of $____________________ (Credit Card Only)
( ) I have enclosed my cheque or money order payable to Oakville Public Library.
( ) I prefer to use my credit card. Please complete credit card information below.
_____________________________________________
Signature above authorizes my credit card to be charged for the amount I have selected.
Please direct my donation to:
(
(
(
(
(
(
) Area of Greatest Need
) Endowment Fund
) Early Childhood Literacy Programs
) Talking Books and Large-Print Books for the Visually Impaired
) Book Collections for _____ Adults ____ Children
) Other: _________________________________________________________
To make your
donation online
please visit
www.opl.on.ca/
about/donate
______
( ) Please send me information on planned giving.
Tax receipts are issued for donations of $10 or more, unless otherwise specified.
Oakville Public Library 120 Navy Street Oakville ON L6J 2Z4.
Phone: (905) 815-2028 Fax: (905) 815-2024
Website: www.opl.on.ca Charitable Registration #11924 8169 RR0001
For customer protection and privacy this information will be destroyed after credit card processing.
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○ Visa
○ MasterCard
______________________________________________
___________________________
Credit Card Number
Expiry Date