WESTERN COUNTIES
REGIONAL LIBRARY
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Donation Form |
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| Branch ........................................... | Date ............................................... |
This donation to the Western Counties Regional Library Charitable Association is made by |
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| Name ............................................... | Amount of donation ................................ |
| Address ............................................ | Do you want a tax receipt? Yes ......No ...... |
............................................ (Tax receipts can be given for amounts of $10.00 and over.) |
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| ........................................... | |
| Would you like us to purchase a special book or other item? Yes ...... No ...... | |
| If so, is there a format and/or type of material ? | |
| ...................................................................................................................................... | |
| ...................................................................................................................................... | |
| A giftplate can be placed in the book. Please give any special wording you would like used. | |
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Thank You for your donation! |
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| For librarian's use: | |
| Letter to donor (date)........................... | |
| Item ordered (title) ....................................................................(date).................... | |
| Item ready for branch (date)...................................... | |
| July 2001 |
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| If you have any questions or comments please contact us at ansy@nsy.library.ns.ca | |
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