Gift or Monetary Donation Application
Your name
*
First Name
Last Name
Your email
*
example@example.com
Your phone number
*
Please enter a valid 10-digit phone number.
Format: (000) 000-0000.
Your Address
*
I would like to
*
Make an unrestricted monetary donation
Make a monetary donation toward books/items for the collection (Gift Book Program)
Back
Next
Monetary Donation
Is this donation in honor or memory of someone
Yes
No
Type of recognition
In honor of
In memory of
Name of person to be recognized:
First Name
Last Name
Would you like us to notify anyone about this donation?
Yes
No
Name of person to be notified:
First Name
Last Name
Email 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
Back
Next
Gift Book Program
The Library welcomes monetary contributions specifically for book purchases in memorial to or in honor of named individuals. Final selection of materials remains the responsibility of the Library in accordance with the Collection Development Policy. For memorial books to the Library, the Library may place within the book the name of the donor or honoree, if desired.
The subject/topic I prefer for this book(s) is:
Is this donation in honor or memory of someone
Yes
No
Type of recognition
In honor of
In memory of
Name of person to be recognized:
First Name
Last Name
Would you like us to notify anyone about this donation?
Yes
No
Name of person to be notified:
First Name
Last Name
Email 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
Back
Next
Donor Wall Information
If your donation is above $150, would you like your name added to the Donor Wall?
Yes
No
Not applicable
Select Donation Type for Donor Wall
Page Donor: $150 - $249
Chapter Donor: $250 - $499
Cover Donor: $500 - $999
Book Donor: $1,000 - $2,499
Bronze Donor: $2,500 - $4,999
Silver Donor: $5,000 - $9,999
Gold Donor: $10,000 - $24,999
Platinum Donor: $25,000+
Back
Next
Donation Amount
*
prev
next
( X )
USD
Enter Donation Amount
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
Submit
Should be Empty: