Annual Fund Pledge – Insurance Library

This form is for the use of Library trustees and employees only.
Please do not forward this form to a potential donor.

Annual Fund Pledge Report Form

Thank you for successfully obtaining a pledge to the annual fund. Please submit the following information so that we may record the pledge and, if requested, send the donor a pledge invoice, W-9, or direct deposit information.

Donor:(Required)

Amount of Pledge:(Required)

Does the donor need?

Pledge Invoice

W-9

ACH/Direct Deposit/ETF Information

Donor Name:(Required)

First Last

Donor email address:(Required)

Donor phone:

CAPTCHA

We Are Deeply Grateful to the 2024 Members of the Henry E. Hess Benefactor Society--The Andover Companies, Safety Insurance, and Vermont Mutual Insurance Group--for Their Extraordinary Support, and to all Eight of Our Sustaining Patrons for Their Exceptionally Generous Support of the Library's 2024 Annual Fund