UCB Libraries

 

Enrollment Form

 

__ I would like to join the University Libraries Top Drawer Society

and contribute ___ payments of $ __________ .

Please contact me about a pledge agreement.


__ Please enroll me in the Top Drawer Society

for a tax-deductible contribution of

$ __________ ; __ $100,000 ; __ $50,000 ; __ $25,000 ; __ $10,000.

 

__ My check for $ __________ is enclosed.

Checks should be made payable to:

University of Colorado Foundation/Libraries

(memo line should indicate Top Drawer Society).


__ Please charge $ __________ to my ___ Visa / ___ MasterCard

 


_________________________________________________________
Card Number / Expiration Date

 

_________________________________________________________
Cardholder Name (please print)

 

_________________________________________________________
Signature


_________________________________________________________
Name


_________________________________________________________
Address


_________________________________________________________
City State Zip


_________________________________________________________
Phone Fax


_________________________________________________________
Email Address

 

Please return this form to:

Office of the Dean of Libraries
University of Colorado at Boulder
184 UCB
Boulder, CO 80309-0184

Phone: 303-492-7511
Fax: 303-492-3340