Stillwater Library

Birthday Book Club

Gift Dontation Form

 

 

 

 

 

Parent/Guardian/Donor Name:_______________________________________

 

Email Address:___________________________________________________

 

Name of student:_________________________________________________

 

Teacher/grade of student:__________________________________________

 

Please list the title of the book you would like to donate:

 

 

 

………………………………………………………………………………………………………………………………………………………..

 

BOOKPLATE INFORMATION:  (To be placed inside the front cover of donated book)

 

Student’s name you would like to be inscribed:_____________________________________________________

 

Date of birthday:________________________________________________

 

………………………………………………………………………………………………………………………………………………………..

 

Checks should be made out to Stillwater Library

Thank you for your continual support!