Kirkwood Public Library
Secure Donation Form

Donation Summary:
Join the Friends: *

or...
Donation Type: *

If you wish to make a donation AND join the Friends, please fill this form out twice. (once to select a donation type and amount, and a second time to join the Friends)


Donation Amount: * $

Comments/Details:     

If you wish for someone to be notified of your donation, please include their name and address in the comments section above. If selecting "Buy a Shelf", please indicate how the name should appear on the shelf plaque and desired shelf category (e.g. fiction, biography, mystery, etc)

           
Credit Card Information:
Card Type: *

Name as on Card: *
Card Number: *
Card Expiration Date: * MMYY
Card ID (CVV2/CID) Number: * [What is the Card ID?]
   
Billing Information:
Company Name:   
First Name: *
Last Name: *
Address: *
Address 2:   
City: *
State: *
Zip: *
Phone Number: *
Email Address: *
     
   

'*' Indicates Required Field


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