Foundation Donation Form

Instructions

To donate, please make checks payable to the Tiffin-Seneca Library Foundation. Please print, complete, and return this form along with your check to:

Tiffin-Seneca Library Foundation
Attn: Tony Reser, Treasurer
77 Jefferson St
Tiffin, OH 44883

About You and Your Donation

Name: ____________________________________________________________

Address: ___________________________________________________________

City: ______________________________  State: __________  ZIP: ___________

Here is my contribution of:

  • [  ]  $25
  • [  ]  $50
  • [  ]  $100
  • [  ]  Other: _______________