Library Donation Form (PDF)

49 Rope Ferry Road 
Waterford, CT  06385 
860-555-5805 
waterfordpubliclibrary.org 
 
 
The mission of the Waterford Public Library is to enrich, educate and connect our community through 
discovery and access to ideas, information, technology and entertainment. The library aspires to be a 
welcoming center for a vibrant community. Working together, we will create an inclusive and thriving 
Waterford. 
 
Thank you for supporting the Waterford Public Library with your generous tax-deductible contribution. 
Every donation is valued and appreciated. 
 
Thank you, 
 
Miriam Furey-Wagner 
President 
Waterford Public Library, Inc. 
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LIBRARY DONATION FORM      
 
 
 
Donor Name(s): __________________________________________  Phone: _____________________ 
 
Donor Address: _______________________________________________________________________ 
 
Amount Enclosed:     $25     $50    $100     Other ___________ 
Please make checks payable to Waterford Public Library, Inc. 
If this is a memorial donation or in honor of someone, please provide the name of the honoree and 
provide an address for whom you would like us to notify of this donation. 
 In Memory Of     In Honor Of  
Name(s): 
Please notify: 
 
 
Donation notes:______________________________________________________________________ 
 
Please provide your email address if you wish to be added to the library’s e-news list: 
 
___________________________________________________________________________________ 
Waterford Public Library, Inc., is 
a registered 501c3 organization, 
EIN: 06-0707059