Dover Public Library
Memorial/tribute
donation form
Honor the memory of a loved one, pay
tribute to family or friends, or celebrate a
special occasion by donating to the Dover
Public Library. Suitable library materials
(books, DVDs, music, audiobooks) will be
purchased and your gift can be recognized
with a personalized bookplate in each item.
Your name_______________________________________________
Donation Use (please circle as many as you want):
Street____________________________________________________

Whatever the library needs!
City, State, Zip___________________________________________

Books (Adult, Juvenile, Teen, Large Print,
Fiction, Non-Fiction, Genealogy/Local history)
Telephone________________________________________________
Any specific subject?____________________________
Email____________________________________________________

Audiobooks on CD (Fiction or Non-Fiction,
Adult or Juvenile)

Music CDs (Classical, Jazz, Blues, Folk,
Bluegrass, Opera, Rock, Show Tunes,
World Music, Children’s Music)
Please note any special bookplate wording: (E.g.: “Donated in
memory of John Smith by the Johnson Family”; “In celebration
of ________”; date of birth; date of death, etc.)

DVDs (New features, Children’s, Instructional,
Concert/Performance, Documentary, Foreign
films, Manga, TV Series)
__________________________________________________________

Other:__________________________________________
Amount of your donation $____________
Name of honoree (as it should appear on bookplate):
__________________________________________________________
__________________________________________________________
__________________________________________________________
A letter will be mailed to the recipient of your choice, letting
him or her know of your gift. Please tell us where to send
this acknowledgement:
Name(s)__________________________________________________
Address__________________________________________________
City, State, Zip___________________________________________
Would you like to be notified when chosen item(s) are
ready so that you can be the first to see/borrow them?
YES_________
NO__________
Please send (or drop off) this completed form and
your check to:
Dover Public Library
73 Locust Street
Dover, New Hampshire 03820
Questions: please call 603-516-6050
Thank you for your donation!