Books & Media Donations Receipt

Please print this form, then bring it into Pequot Library for signature when you drop off your books and media.

Date
Date Format: MM slash DD slash YYYY
Name
First Last
Address
Street Address Address Line 2 City State ZIP Code
Thank you for your generous donation to the Pequot Library (itemized below). The items will be added to our collection or sold at our annual Book Sale. Gifts may be tax deductible, but, as a non-profit institution, we cannot provide an estimate of their value. Thank you again for your support and your gift to the Pequot Library.
Number of hardcover books:
Number of paperback books:
Number of audiobooks:
Number of record albums:
Number of cassette tapes:
Number of CDs:
Number of DVDs:
Signature
Received By:
(Pequot Signature)

Signature