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LIBRARY FOUNDATION
OF BUFFALO AND ERIE COUNTY, INC.

Annual Fund Form

Name __________________________________________________

Address ________________________________________________

City, State, Zip ___________________________________________

Phone _________________________________________________

My contribution is $ _______________________________________

If applicable, my gift is a memorial to: _________________________

If this is a corporate gift, Name of Corporation: __________________

Does the company have a matching gift program?  _____ Yes  _____ No

Buffalo & Erie County Public Library * 1 Lafayette Square * Buffalo, NY 14203 * (716) 858-8900 * Fax: (716) 858-6211
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