Library Donation Form
Donor’s Name:
Donor’s Address:
Donor’s Phone #:
Date:
Donated Items (please list):
Value of Donated Item(s): $_____________
Your signature on this form acknowledges that the donation of the above item(s) is now the property of the Annie P. Ainsworth Memorial Library. Thereby, the Library reserves the right to determine use and disposition of all donated materials.
Signature of Librarian: ________________
Date: _____________
Donation(s) accepted by:
Signature of Librarian: _____________
Date: ______________
Thank you so much for your donation!
Approved 3/21/17