Library Donation Receipt Template (Sample) printable pdf download

Library Donation Receipt Template (Sample)

Dear Library Donor,

Thank you for your gift to Eustis Memorial Library. Please use this form as our

acknowledgment and receipt for your monetary donation. Thank you for supporting the

Eustis Memorial Library.

Donation received by: ______________________________ Date: ________________

Library Staff Signature

Information below is to be completed by donor.

Donor name:

_________________________________________________________________

Donor title:

___________________________________________________________________

Company or organization name:

______________________________________________

Donor mailing address:

_______________________________________________________

Donor contact telephone number:

____________________________________________

Donor e-mail address:

________________________________________________________

Donation amount:

________________________________________________________

Cash

Check

Check #: ____________

Donation purpose: _____________________________________________________

____________________________________________________________________

Acknowledgment(s) Yes _____ No _____

Bookplate(s) Yes_____ No _____

In Memory of: __________________________In Honor of: _____________________

Memorial/Bookplate information: __________________________________________

___________________________________________________________________

Additional Acknowledgment to:

____________________________________________________________________

Donor signature:

______________________________________________________________

Library Donation Receipt Template (Sample)