Support the Library Foundation of Hancock County

Yes, I want to help the Hancock County Library System in its efforts to Rebuild the Dream after Hurricane Katrina.

You may print this form and mail it with your check (also accept VISA and MasterCard) to:
Library Foundation of Hancock County
312 Highway 90
Bay St. Louis, MS 39520
Name/s :___________________________________________
                  (as you wish to be listed in newsletter)

Street Address:______________________________________

City, State, ZIP:______________________________________

E-mail address:______________________________________

___ Please include me on your e-mail list.

___ Please do not add me to your e-mail list.

Memorial/Tribute Gifts
This gift is made in honor/memory of:______________________

Please send notification to (honoree or family of honoree):



City, State, ZIP:__________________________________

Notes or Comments:__________________________________


Gift amount:
$30     $50     $100     $250

$500   $1000   $ _____ Other amount

Credit Card Payment Option

Please charge my     VISA       Master Card

Credit Card Number:___________________________________

Expiration date (mm/yy): ________________________________

Name as it appears on card:_____________________________

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