Memorial Contribution Form

Memorial Contribution Form

Thank you for honoring your loved one through the purchase of books at the Giddings Public Library.
Memorial name (Please enter the name of the person for whom you're purchasing a memorial. Enter it exactly as you want it to appear on the inscription)*
Donor name (Enter your name as you want it to appear on the inscription)*
The following inscription will appear on the cover page of the books purchased with your memorial contribution: In memory of Memorial name* from Donor name*.
Please indicate the number of books you're purchasing in honor of {memorialName}. *
The amount of your memorial contribution is:

Book selection

With your memorial contribution, you can either select specific book titles, or you can allow the library to make book selections.
Would you like to suggest specific book titles to be purchased for the memorial?*

YesNo
Please enter {number} suggested book titles and their authors below. *
We'll do our best to find the book titles you suggest. If we cannot locate your suggested titles through our suppliers for the purchase price, we'll substitute your suggestion with a book we've already scheduled for addition to the collection.*

I understand and agree.
If you choose not to suggest book titles, the library will purchase books already scheduled for addition to the collection, with no regard for theme, author, subject matter, etc.*

I understand; I choose to allow the library to select books for this memorial contribution.

Payment details
Thank you, {donorName29}, for purchasing {number} books in honor of {memorialName} for ${amountOf98}.
How will you pay the ${amountOf98} contribution today?*

CashCheckOnline payment
Please visit the library at 276 N. Orange St. in Giddings, Texas, to pay in cash. Your memorial books will be scheduled for purchase after the library receives your payment. If payment is not received within two weeks, memorials will not be purchased.

I understand and agree to bring my cash payment directly to the library within two weeks.
Please make your ${amountOf98} check payable to the Giddings Public Library, and write "Memorial {memorialName}" in the memo line. Mail your check to: Giddings Public Library & Cultural Center | 276 N. Orange St. | Giddings, Texas 78942. Your memorial books will be scheduled for purchase after the library receives your payment. If payment is not received within two weeks, memorials will not be purchased.

I understand and agree to mail my payment directly to the library within two weeks.
Enter your email below if you want to receive a copy of your responses and a receipt for online payments.
example@example.com

Book selection