Frank E. Gannett Memorial Library
Book Gift & Donation Form
Please print completed form, then sign and date. Present completed, signed form with your gift or donation.
Donor Contact Information
Name
Address
City State Zip Code
Email
Phone
Book Gift/Donation Information
Yes
No
Yes
No
Have you read the UC Library Gift & Donation Policy?
Would you like books that are not acceptedby UC Library returned to you?
Would you like a bookplate indentifying you as the donor placed on accepted books?
If yes, please provide a bookplate inscription:
Hardcover Donation Total:
Paperback Donation Total:
Yes No
Donor Signature
UC Library Staff Signature
Date
Date
Rev. 10/2006
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