Appendix B
Gift-Memorial Donations Form
Date: ____________________
Amount of Donation: ____________________
Donor Information
Name(s): ________________________________________________________________________________
Address: ________________________________________________________________________________
Telephone: ______________________________________________________________________________
Email: __________________________________________________________________________________
Donor Allocation
_____ Area of greatest need
_____ Building/Furniture fund
_____ Technology/Equipment Fund
_____ Maker Studio fund
_____ Programming fund
_____ Other ________________________________________________________________________________
_____ Materials - Suggested collection area: _______________________________________________________
*If applicable: if you would like a donor plate affixed to the purchased items, please write the language on the back of this form, limit of 80 characters
_____ East Lansing Public Library Endowment Fund managed by the Capital Region Community Foundation (CRCF). Please call the CRCF at 517.272.2870 for complete donation information.
Acknowledgement of Monetary Gifts
Would you like your name on the web site, and donor display for six months or one year respectively, and in the library newsletter for one month (gifts of $100 to $2,499) or on the Library's Donor Recognition Wall permanently (gifts of $2,500 and above)?
_____ Yes
_____ No, listed as "Anonymous"
_____ No, not listed
If applicable: in Honor of or Memory of (circle):
Name/Occasion: ________________________________________________________________________________
If applicable: Who Else Should We Notify of Your Gift?
Name: ________________________________________________________________________________________
Address: ______________________________________________________________________________________
______________________________________________________________________________________________
Return this form with your donation to the East Lansing Public Library, 950 Abbot Road, East Lansing, MI 48823
Please call 517.319.6863 with any questions.
Collection Development and Intellectual Freedom Policy Appendix B
