The Remnant Trust Collection
at the Carnegie Library in Jeffersonville, Indiana

Sponsorship Pledge

Name		__________________________________________________
Address		__________________________________________________
City		___________________	State	_______	Zip	________
Telephone		__________________________________________________
Email		__________________________________________________
Employer for matching gift			____________________________
Signature		__________________________________________________
Date		__________________________________________________

My total pledge is			$_________________
My pledge will be given as follows:
2006	____	2007	____	2008	____	2009	____	2010	____

My pledge will be paid:
Annually	____	Quarterly	____	Monthly	____	Other	____
_______	Please send me a reminder when my pledge is due.

Checks made payable to: Jeffersonville Carnegie Library Foundation

Mail to: P.O. Box 4423, Jeffersonville, IN 47131