Pledge Form
Please return this form
by May 1, 2004 to:
Russlene Waukechon
Texas State Library
P.O.Box 12927
Austin, TX 78711-2927
OR FAX TO:
512-936-2306
Library Name: _______________________________________________________
Person Responding: __________________________________________________
Title:_______________________________________________________________
Telephone number: ( )______________________________________________
Email:______________________________________________________________
FAX: ______________________________________________________________
____ My library pledges funds in support of HeritageQuest
(please see attached table for recommended pledge information
for your library)
Amount pledged:_________________________________________________
____ My library pledges funds in support of STAT!Ref
(suggested contribution per library $5,000)
Amount pledged:__________________________________________________
____ If sufficient funds are not available for statewide
access to HeritageQuest, my library is interested in subscribing
to this as a TexSelect database http://www.texshare.edu/programs/academicdb/selectdbinfo.html
____ If sufficient funds are not available for statewide
access to STAT!Ref, my library is interested in subscribing
to this as a TexSelect database http://www.texshare.edu/programs/academicdb/selectdbinfo.html
____ We are not interested in either database
Authorized signature:
__________________________________
Please return this form by May 1, 2004 to:
Russlene Waukechon
Texas State Library
P.O.Box 12927
Austin, TX 78711-2927
