DPIL donor statement of intent form

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Dolly Parton's Imagination Library of Harrisonburg and Rockingham County An Initiative of The Community Foundation 2021-22 Donation Form Change the story for Harrisonburg and Rockingham County children. Dolly Parton's Imagination Library of Harrisonburg and Rockingham County is a monthly book gifting program that mails free, high quality, age-appropriate books personalized with the child’s name directly to the child’s home. All children age birth to 5 in Harrisonburg and Rockingham County are eligible regardless of income. We want to build literacy and create excitement about reading by providing each child their own library of carefully cultivated books. Join us in this effort by becoming a donor of this community-supported and research-driven program!

Please consider donating to the Imagination Library! $250 - Sponsor 10 children for a year

$75 - Sponsor 3 children for a year

$125 - Sponsor 5 children for a year

$50 - Sponsor 2 children for a year

$100 - Sponsor 4 children for a year

$25 - Sponsor 1 child for a year

Other $ One Time Commitment $

Yearly Commitment $

Name: Address: Phone:

Email:

Payment in full is included (Make checks payable to The Community Foundation of H-R) Pay with credit card (To pay with credit card please check the box and someone from our staff will contact you) Please invoice me I would like information on how I can endow this program for future children Thank you for your generosity and commitment to providing high quality books to children in H-R! P.O. Box 1068, Harrisonburg, VA 22803 - Phone: (540) 432-3863 - Fax: (540) 705-0576 - Email: revlan@tcfhr.org


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