Scottsdale Public Library - Donating to the Scottsdale Public Library

Scottsdale Public Library Memorial and Honoree Form

Fill in online and print out. Close the window AFTER you have successfully printed the form.

Donor Information

Name:

Street Address:

City, State Zip:

Phone:

Email:

I am not providing Donor Information because I wish to remain anonymous.

Amount of donation: $ ($25 minimum)

Preferred subject for books/materials (optional):

Dedication Information

For honor and memorial donations, a bookplate will be placed inside the book
dedicating it to the person you specify.

In Memory Of (deceased) To Honor (living)

Name:

Relationship of
Donor to Honoree:

Occasion for honor:

Acknowledgment

The library will send an acknowledgement to the Honoree or to the family of the Deceased.

Name:

Address:

Relationship of recipient of
acknowledgment letter to Honoree:

Donor Information
Name:
Street Address:
City, State Zip:
Phone:
Email:
I am not providing Donor Information because I wish to remain anonymous.
Amount of donation:	$ ($25 minimum)
Preferred subject for books/materials (optional):
Dedication Information
For honor and memorial donations, a bookplate will be placed inside the book dedicating it to the person you specify. In Memory Of (deceased) To Honor (living)
Name:
Relationship of Donor to Honoree:
Occasion for honor:
Acknowledgment
The library will send an acknowledgement to the Honoree or to the family of the Deceased.
Name:
Address:
Relationship of recipient of acknowledgment letter to Honoree:

Please print the completed form and pay with cash, check (made payable to City of Scottsdale) or credit card at your Scottsdale Public Library or mail the form and your check to:

Director of the Scottsdale Public Library
3839 N. Drinkwater Blvd., Scottsdale, AZ 85251-4467

If you have any questions, call 480.312.2453. Thank you!