Booth Library Gift Form

All gifts are tax deductible.  Please make your check payable to Eastern Illinois University Foundation and mail to:

Eastern Illinois University
Booth Library Enhancement Fund
600 Lincoln Avenue
Charleston, Illinois 61920-3099



City________________________  State_______ Zip________

Enclosed is my check for $__________;

or please charge my contribution of $_________ to my:  [  ] Visa   [  ] Master Card   [  ] Discover

Account:_______________________  Expiration date__________

Authorized Signature____________________________________

Please use my gift:
[  ] Where it is needed most
[  ] Equipment and furnishings
[  ] Technology enhancement
[  ] Acquisition of materials for collections

Does your company have a matching gift program?  If so,

Company Name________________________________________

For more information, contact the Office of Development, Eastern Illinois University (217) 581-3313