Gift or Monetary Donation Application

Gift or Monetary Donation Application
Your name

First Name Last Name
Your email
example@example.com
Your phone number
Your address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
What type of donation are you making? *

Monetary Monetary (in honor/memory of someone) I'd like the library to purchase a book in honor/memory of someone

The subject/topic we prefer for this book is
Would you like us to notify anyone about this donation?

Yes No
Name of person to be notified

First Name Last Name
Email address of person to be notified
example@example.com
Address of person to be notified

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Donation in honor of
Is this donation in memory of the person listed above?

Yes No

If your donation is $150 or more, would you like a name added to our Donor Wall?

Yes No Not applicable
Name to be added to Donor Wall

First Name Last Name

Thank you for your generosity. Information about your donation has been submitted for our records, and you will receive a confirmation email.

Please make your check payable to Tinley Park Public Library and mail to the following address:

Business Office
Tinley Park Public Library
7851 Timber Dr.
Tinley Park, IL 60477
Should be Empty: