Memorial Donation Form
Please fill out the form below to make a donation in memory of a loved one. Your contribution will support our cause and an acknowledgement will be sent as specified.
Your Name
*
First Name
Last Name
Your Phone Number
*
Please enter a valid phone number.
Your Email
example@example.com
Your Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What type of donation is this?
*
Memorial
Honorarium
Commemoration
Would you like your donation to be used for:
*
Book
Library Operations
Full name of the person, organization, or event in whose memory/honor you are donating:
*
If you would like your donation used for a book, list any book title or subject preferences and our librarians will do their best to choose something that will fit into our Library's collection.
Please see our Memorial Donation Policy for book requests.
Please send an acknowledgement to:
Please provide a full name and mailing address
Enter your donation amount (minimum of $25)
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USD
Memorial Donation Amount
Credit Card
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