Scottsdale Public Library Gift and Memorial Donation Form

Fill in online and print out.  Close the window AFTER you have successfully printed the form. 

Donor Information
Name:
Street Address:
City, State Zip:
Phone:
I am not providing Donor Information because I wish to remain anonymous.
Amount of donation: $ (make checks payable to: City of Scottsdale)
May we publish your name as a donor in Library Event Calendar? Yes No
Donation Information
Library to which you wish
to give your gift: 		Any
Civic Center  Mustang  Palomino  Arabian
Appaloosa (opening in 2009)
How donation is to be used: Unrestricted 
      (library will use where needed - no minimum $)

To Purchase Books or Materials for the library 
      ($25 minimum)
Preferred subject for
books/materials purchased (optional):
Dedication Information

For honor and memorial donations, a bookplate will be placed inside the book
dedicating it to the person you specify, along with your name.

In Memory Of (deceased):

Name of Deceased:
Relationship of
Donor to Deceased:
To Honor (living):
Name of Honoree:
Relationship of
Donor to Honoree:
Occasion for honor:
(thank you, birthday, anniversary,
graduation, new home, birth,
Christmas, Hannukah, Mother's Day,
Father's Day, etc):
Acknowledgment
The library will send an acknowledgement to the family of the deceased
or provide a Gift Notice for the honoree.
Acknowledgement to Family of the Deceased:
Name:
Address:
Relationship of recipient of
acknowledgment letter to deceased:

Please print the completed form and pay with cash, check or credit card at
your Scottsdale Public Library or mail it with your check to:

Director of the Scottsdale Public Library
3839 N. Drinkwater Blvd.
Scottsdale, AZ 85251-4467

If you have any questions, call 480-312-2453.

T H A N K   Y O U !