(Please print)
| TO: | Acquisitions Department |
|
FROM: |
FI |
JA |
MH |
FG |
MM |
PR |
BrS |
(circle and initial) |
| OTHER (please specify) |
_______________________________ |
| DATE: | ______________________ |
| NAME of RECIPIENT: | ______________________________________ |
| NAME of DONOR: | ______________________________________ |
| DONOR'S ADDRESS: | ______________________________________
______________________________________ ______________________________________ |
| PHONE (optional): | ______________________________________ |
Affiliation: ______ Alumnus, grad year ____ ______ Organization
______ Faculty ______ Community Member
______ Staff ______ Other
Gift Value $___________ ("Self - Appraisals" for purposes of tax
deduction must be submitted by donor along with donation).
Description of materials (e.g. textbooks, nonfiction, novels,
journals, reports, manuscripts, etc., covering a specific subject,
approximate age of items):
The library will not accept gifts with conditions as to their disposition or location. Also, the library retains the right to decide whether all or part of a gift should be integrated into the collection or discarded.
Acquisitions Department Use Only
| No. of cloth books: __________ | No. of paperbacks: ___________ |
| No. of periodicals: __________ | No. of other items (specify): ___________________ |
| Date materials received: __________________ | |