Please print and mail this form with your donation to:

James L. Izatt, Head
Talking Book Library
c/o Worcester Public Library
3 Salem Square
Worcester, MA 01608

My/Our donation to the Library is $__________________
Please make your check payable to the Talking Book Library.

Name: ____________________________________________________

Address: __________________________________________________

City:_______________State: ________ Zip Code: ___________

Gifts may be made to the Talking Book Library in honor or in memory of a person, to celebrate a family event or to mark any special occasion.

This gift is in memory of: ______________________________________

This gift is in honor of:_________________ on the occasion of:


Please notify: _____________________________________________ of my gift.

Their address: _________________________________________________

City: ______________________State: ____ Zip: ___________

Your contribution is tax-deductible to the extent provided by law.