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Nottawa Township Library Donation Agreement Form

Donor _______________________________________________________ Address______________________________________________________    City, State, Zip Code ___________________________________________

Description of material donated: ______________________________________________________________ ______________________________________________________________ $____________________________

I have received a copy of the Library’s Donation Policy and agree that the library can 
decide how to best utilize these items.

Donor’s Signature:______________________________Date _________

Accepted for the Library by: ______________________Date _________

One copy of this form will be given to the donor and the library will retain one copy.

Approved by the Nottawa Township Library Board __Feb. 22, 2006_________Review __Feb 2008_