Honorary or Memorial Donation

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Date
MM slash DD slash YYYY
Name of Individual or Business making this gift:*
First Last
Recognition:*
- I would like this donation to appear in donor recognition materials
- I would like this donation to remain anonymous
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Tribute Options:
To make this gift a tribute in honor or memory of an individual or group, complete this section.
Name/Group/Occasion that this donation is in honor/memory of:
Designation of Funds:*
- To best meet Library Needs
- Please contact me to discuss options
Notification Name:

A letter acknowledging your gift will be sent to this address.
Notifcation Address
Street Address Address Line 2 City State ZIP Code
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