Donation Form

 What better way to remember a friend or loved one, or to commemorate a special event or birthday, than to put a book on your library’s shelves?

A special bookplate will be put in each book with the honoree’s name. Your gift will put a book on the shelves of Hawkins County Public Library System for reader’s to enjoy.

Type of Gift:             ___ In Memory Of ____________________________________

                                    ___ In Honor Of ____________________________________

                                    ___ To Celebrate a Birthday___________________________

Amount:                   _____________

Branch:                     ___ Church Hill Public Library                  ___ H.B. Stamps Memorial Library

—- Surgoinsville Public Library                 ___ Unspecified

Section:                     ___ Children’s Area                                   ___ Teen Area

___ Adult Fiction                                         ___ Adult Nonfiction

___ Unspecified

Donor Information:                       

Name: ______________________________________

 Address: _________________________________

                                                            _______________________________________________

 Email: __________________________________________

 

Honoree Information: For donations of $25 or more we will be happy to send notice of your gift to the honoree or family. Please us know to whom it should go.

Name: __________________________________________

Address: _________________________________________

____________________________________________________

We appreciate your support of the Hawkins County Library System.

Thank you for your contribution.