Donation Form

Enhancing lifelong learning and
expanding pathways to discovery
for all Medford residents.

Name a paver on the front walk and pave the way to the library.

Pavers are 2'x2' and text can include up to 6 lines of up to 15 characters per line (including spaces).

PAVER-FORM.pdf

Please send your completed Paver Form to Joey Leroux at [email protected]

Donation

Amount

$1500 - Paver

If a Pledge Payment - Choose Interval

Your paver text may take up six lines (15 characters per line) and 90 characters. Write your email if you would like to pledge now and consider your verbiage later.

Contact Information

First Name

Last Name

Address

City

State/Province

Zip/Postal Code

Help Us Cover Costs

Simply leave "Yes!" checked below to ensure that 100% of your intended donation is available for our mission.

Yes! I want $0.00 to go to Medford Public Library and I will donate $0.00.No. I will donate $0.00 and Medford Public Library will cover the processing costs.

Credit Card Information

Card Holder Name

Card Account Number

Expiration Date

Security Code

Billing Address

Same As Above

Address

City

State/Province

Zip/Postal Code

Privacy Policy
We take precautions to protect your information. We collect credit card or bank account information, names, addresses, and other data related to your transaction when you make a payment through our site. We use this information to process your payment.

Terms/Conditions
By submitting your payment, you authorize us to charge the account above for the amount specified in the Transaction Amount field. Account information for Recurring Pledges/Monthly Giving is encrypted and stored securely via SafeSave™ for automatic processing of your future payments. Notify us at anytime if you wish to discontinue your pledge.