Donation Memorial Form
The PCDL thanks you for your interest in making a memorial, honor or a gift donation.
A special bookplate will be placed on materials listing the person(s) whom the donation is for, as well as the donor.
If you are looking to purchase a larger item for the PCDL, please contact the director Kelly Ward, at 419-523-3747 ext 220 or kward@seolibraries.org
Donor Info:
Name ___________________________________________________________________________
Address ___________________________________________________________________________
Phone Number___________________________________________________________________________
Person to be notified:
Name ___________________________________________________________________________
Address ___________________________________________________________________________
Phone Number___________________________________________________________________________
Type of donation:
(1) Memory of:___________________________________________________________________________
(2) Honor of: ____________________________________________________________________________
(3) Gift for: ____________________________________________________________________________
Library Location:
Columbus Grove Continental Fort Jennings Kalida
Leipsic Ottawa Ottoville Pandora
Material Suggestion
Adult Teen Children
Please make checks payable to the Putnam County District Library
