Four Way Books
    Contribution Form


 

I would like to pledge the above amount every month for the next twelve months.

I would like to pledge the above amount each year for 3 years, beginning with my 2012 donation.

Donors of $100.00 or more, will receive Blas Falconer's The Foundling Wheel.
Donors of $500.00 or more, will also receive Cynthia Cruz's The Glimmering Room.
Donors of $1,000 of more will receive our entire fall 2012 list. and our Four Way Books @ 20 Reader.
Donors of $5,000 or more will receive our Fall 2012 - Spring 2013 list and our Four Way Book @ 20 Reader.


(fields in bold are required)
NAME: COMPANY:
STREET ADDRESS: CITY:
STATE/PROVINCE: POSTAL CODE:
COUNTRY: US / CANADA
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