Vassar College Library Donor Record Form printable pdf download

VASSAR COLLEGE LIBRARY DONOR RECORD FORM

Thank you for thinking of the Vassar College Library. Please consult the Vassar College

Library Gift Policy before donating your material. Below is a form which we ask you to

complete so that we may record information about you and your gift for our donor file.

No gift will be accepted without a signed Donor Record Form.

Your signature on this Donor Record Form acknowledges that gift material not

added to the collection may be sold, offered to other libraries, or otherwise disposed

of at the Library’s discretion.

Thank you for your generosity.

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Donor Name: ______________________________________________ Date_____________________

Contact name (if other than donor): _____________________________________________________

Address: ____________________________________________________________________________

___________________________________________________________________________________

Phone: _______________________________________ E-mail: _______________________________

Donor affiliation to Vassar College (alumna/us, parent, etc.): _________________________________

Approximate number of items: ____________ General subject of materials: ____________________

_____ I would like a letter from the library acknowledging my gift.

Please check one:

_____ I will not take a tax deduction for this donation.

_____ I will claim a tax deduction for this donation valued at less than $500

_____ I will claim a tax deduction for this donation valued at more than $500 but less than $5,000

(please see Deed of Gift form on the reverse side of this document).

_____ I will claim a tax deduction of more than $5,000 and have completed an appraisal of the

materials before giving them to the Library (please refer to the Deed of Gift form on the reverse side of

this document). Please note that appraisals are solely the responsibility of the donor.

I have read the Vassar College Library Gift Policy and agree that my donation

will be handled according to its stated terms.

Signature: __________________________________________________________________________

10/20/13 rev

Vassar College Library Donor Record Form