Foundation Donation

I would like to make a contribution of $______________________________to the Dodge City Library Foundation.

Please mark one:

_______________This contribution is made in honor of:  

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 ______________This memorial gift given in memory of: 

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Please notify the following: (Name and address)

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Contributors Name:________________________________________________________________________

Address_________________________________________________________________________________

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Home Phone:__________________________________Work Phone:_________________________________

Mail to:

Dodge City Library Foundation

1001 N. Second Avenue

Dodge City, KS 67801

Thank you for your contribution.