307 East Second Street
Casper, WY 82601

DONOR INTEREST FORM

To help the Foundation write new chapters for the library, please find enclosed my/our check for $________________.

If you wish to remain anonymous please check here.

Please credit this gift to the following:

Unrestricted endowment

Purchase of Books/Equipment

Other ________________________________________________

I/we would like to discuss establishing a a trust.

Name ____________________________________________________________

Address___________________________________________________________

City_______________________ State_________________ Zip_______________

Daytime telephone_________________________

Gifts and securities should be made payable or assigned to :

Natrona County Public Library Foundation

307 East Second Street

Casper, WY 82601

Securities may be delivered to us or to your broker with a request to contact us for instructions as to sale or retention. Gifts to the Natrona County Library Foundation are tax deductible to the extent allowed by law.