USBBY Donation Form   
STEP 1: Fill out your Contact Information (required fields in blue)
Name (first and last):
Institution:
Mailing Address (line 1):
(line 2):
(line 3):
Phone - Office:  Home: 
Fax:
E-mail Address:

STEP 2: You can choose to make a donation "in memory of" or "in honor of" someone.
In memory of:
In honor of:
Name and address of individual to be notified of this gift:
Name:
Mailing Address (line 1):
(line 2):
(line 3):

STEP 3: MAKE DONATIONS:
General USBBY Donation$ Hands Across the Sea
   to support underfunded IBBY sections
$
IBBY Children in Crisis Fund$ Special Projects Fund$
International Youth Library$

TOTAL AMOUNT DUE:  
I will submit payment by (select one): Personal check    Credit card (online)

STEP 4: SUBMIT
To submit, complete this online form, then click the "Submit" button below.
Follow the directions on the next page to mail your printed form or to complete your credit card payment.

Note: Please make sure all information above is accurate and complete before submitting.
You will not be able to make corrections once this form is submitted.