Memorial Donation Form

2. Please indicate type of bookplate to be used:

   1. In Honor of
   2. In Memory of
   3. No Bookplate Necessary
4. Please indicate type of item purchase desired:

   1. Nonfiction ($25 minimum)
   2. Fiction ($25 minimum)
   3. Juvenile ($20 minimum)
   4. Young Adult ($20 minimum)
   5. DVD ($20 minimum)
   6. Book on CD ($20 minimum)
   7. Other ($20 minimum)
6. If other:
8. Would you like the items to be purchased for a specific collection area or genre?
10. Name of person for whom donation is given as it should appear on the bookplate:
12. Name and address of person/family to whom an acknowledgement should be sent:
14. Donor’s name as it should appear on bookplate and address:
16. Amount of Donation:

18. If you have any questions or comments please contact the Library Director at 406-388-4346. Please make your check payable to the Belgrade Community Library. Donations may also be made to the Belgrade Community Library Foundation which is a 501(c) 3 organization.

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20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

* indicates a required field