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Print and complete this form, then mail it with your payment to:

Foundation Office
Brooklyn Public Library
Grand Army Plaza
Brooklyn, NY  11238 

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Yes! I'd like to help support the Brooklyn Daily Eagle Online.

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First name 
                  Middle name                        Last name

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Address 
                                  Apt. #

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City 
                                      State                               Zip

_____________—_____________—__________________
Telephone

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Fax

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E-mail

$25 $50   $100 $250  ____ Other


My check, payable to Brooklyn Public Library Foundation, is enclosed.

Please charge $____________ to my credit card:
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Card #_________________________________

Exp. _________ /__________

Signature______________________________


I understand that 100% of my contribution is tax deductible.