Roeliff Jansen Community Library 2007 Annual Fund Drive 

Yes! I want to support the Roeliff Jansen Community Library.  Please use my gift to help the library continue to serve the Hillsdale, Copake and Ancram communities.  Select the amount of your contribution,  print out this form and  send with your check to the above address

___ Reader $35     ___ Researcher $75    ___ Scholar $100    ___ Bookworm $250

___ Bookbinder $500    ___ Benefactor $1,000    ___ Other $ _____

___ I wish to remain anonymous

Name __________________________________________________________________

Address ________________________________________________________________

City ___________________________ State _______________  Zip ________________

Daytime Phone ____________________    Evening Phone _______________________

If you are an employee of a company that has a matching gift program, please check with your personnel department for details.

Your gift to the Roeliff Jansen Community Library is tax deductible as allowed by law.