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Please complete and return this page with your donation

  
     
 

Library Donation Form

  
Kingsville Public Library
     
 

A gift of books or other materials, which will be used and enjoyed by the community for years to come, can be a very  special way of remembering or honoring someone dear to you.  Monetary gifts without restrictions are most helpful as they permit your donation to be directed where it is most needed.  Please contact the Library Director or the Board of Trustees  if you have questions,special needs or assistance in planning your donation to the Library.


Thank you for thinking of Our Library

  
Donor (your name)  ___________________________________________ Date ______________
     
Mailing Address ___________________________________________
 
City  ___________________________________________
State   ________     Zip Code  __________
   __________________________________________________________________  
This will be a:
  ___Monetary Gift of  $ _________________________________________(by check or cash)           
  ___Donation of _______________________________________________  
___Monetary Pledge  will be fulfilled   ___monthly    or   ___annually  for   ___times   or    ___years.    
  Other  _______________________________________________   (please specify)  
   __________________________________________________________________  
  This Gift is provided:                  (Please print the name as it should appear on a recognition label)  
  In Memory of:           ________________________________________________________________  
                    or  
  In Honor of:               ________________________________________________________________  
  On the Occasion of    _________________________________________________________________  
     
  Type of material & subject (if a book) to be purchased:  _________________________________  
     
  Please notify: (Your gift will be acknowledged to those you list below.  The amount of your tax-deductible gift is kept confidential.)  
     
  Name  ______________________________________________________________________________  
     
  Mailing Address:     Street  _____________________________________________________________     
     
   PO Box ______    City  _________________________    State ________    Zip Code  ______________  
     
  Please return this form and your check or money order to:  
 

Kingsville Public Library 

  
   PO Box 57    
Kingsville, OH 44048-0057
 

Please call the library at (440) 224-0239 if additional information is needed.