TCN Donation Form

TRAVERSE COMMUNITY NETWORK
DONATION FORM
A service of the Traverse Area District Library

The Traverse Community Network is a community-centered computer network offering local and global information and intercommunication.

If you can help us with a donation, please print out this form, fill in the required information, and include it with your contribution.

$1 a month, $5, or whatever amount.

Please mail contributions to or drop off at:

Traverse Area District Library
322 Sixth Street
Traverse City, MI 49684

-or-

East Bay Branch Library
1989 Three Mile Road, North
Traverse City, MI 49686

Thank you for your help in making TCN a success.

Mike McGuire, Director

I would like to help support the Traverse Community Network with the
enclosed donation.  (Any amount is welcome.)

_______  $12.00              _______   $60.00

_______  $36.00              _______  Other amount (Please enter)

Donations are tax deductible as provided by law. The Library is a
qualified institution for the 50% Michigan Income Tax Credit. Please make
checks payable to TADL-TCN.

Contributions will be used for the support and expansion of the Traverse
Community Network.  A receipt will be mailed after your donation has been
processed.

Name: _____________________________________________ User ID: _____________

Street Address:___________________________________________________________

City: _______________________________ State: ___  Zip Code:______________

Phone: (____) ____-_________

____ Please check here if you would prefer to remain anonymous and not be
     listed on the Network as a contributor.

03/03/96