Legacy of Books: Response Form

Yes! I want to support Washington University Libraries' Legacy of Books Program by making a tax-deductible contribution of:

__ $50 (preserves 1 book, with bookplate)

__ $100 (preserves 2 books, with bookplates, & gives annual Century Club membership)

__ $500 (conserves 1 rare book & gives annual Dean's Committee membership in the Century Club)

__ $1,000 (preserves 20 books or 1 rare book with special conservation needs & gives annual Eliot Society membership)

__ Other amount $_____

Donor Information

Name ________________________________________________________________________________

Street address ______________________________________________________________________

City, State, Zip Code _______________________________________________________________

Phone Number _____________________ Email Address (Optional)_________________________

Company Match

__ My employer will match this gift.

________________________________________________________________________________________
COMPANY NAME (PLEASE ENCLOSE YOUR COMPANY'S MATCHING GIFT FORM.)

Payment method

__ My check for $_____ is enclosed.
Make check to Washington University; on memo line, write "Washington University Libraries."

__ Charge my gift of $_______ to:
__ MasterCard   __ Visa   __ American Express   __ Discover

Card Number ____________________________

Expiration Date ___________________________

Your name, as it appears on the card ____________________________________________________

Your signature _______________________________________________________________________

Bookplate Content

Choose one:    __ In honor of    __ In memory of

_____________________________________________________________________________________
PRINT THE NAME(S) YOU WISH TO APPEAR ON THE BOOKPLATE.

WU alumni ___ no   ____ yes
WU faculty or staff ___ no    ___ yes

Preserved with a gift from:
(If you only want your name on the bookplate)

_____________________________________________________________________________________
PRINT YOUR NAME HERE

WU alumni ___ no   ____ yes; degree & year ______________
WU faculty or staff ___ no    ___ yes

Notification (optional)

If you want the honored person(s) or their family to be notified of this gift, please provide:

Name of Person to be Notified _______________________________________________________

Street Address ______________________________________________________________________

City, State, Zip Code _______________________________________________________________

Print out, fill out, and mail this response form and your check (if applicable) to:

Washington University Libraries
Legacy of Books Program
Campus Box 1210
One Brookings Drive
St. Louis, Missouri 63130-4899

Please send me:
_____ The Libraries' wish list of rare books and other items prioritized for conservation
_____ Information about creating an endowment fund to preserve library books
_____ Information about including Washington University Libraries in my will

For more information, contact the Director of Development for University Libraries, Daniel Miller, at 314-935-3987 or email her at Daniel_Miller@wustl.edu.