Please mail or fax memorial forms to the Adams Memorial Library: 212 College St, Woodbury, TN 37190 or 615-563-2140. The Cannon County Library System only accepts cash or personal checks only at this time.
DONATION FORMS
Date __ __ __
Initials ____ __ _
Cannon County Library System
Donation
$ Memorial
$ Gift from Author
$ Adams Memorial Library Building Fund
Donation for _____Adams Memorial _____Auburntown _____Genealogy
In Memory of ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ _________
Name as it will appear on book plate.
Mailing Address __________________________________________________________
Address where notice of donation is to be sent.
____________________________________________________________
____________________________________________________________
Name of Donor (s) ____________________________________________________________
Name (s) as they will be recorded on book plaque.
Address & telephone ____________________________________________________________
Number of donor (s)
____________________________________________________________
____________________________________________________________
____________________________________________________________
Title selection will be at the discretion of the Director following the collection development plan.
A bookplate will be placed in the purchased book stating the name of both the honored and donor.
A card will be sent as notification to either the funeral home or person designated by the donor (s).
May we mention your gift in press releases? Yes _____ No _____
Except in rare instances we do not accept pre-purchased books by the donor for memorial gifts.
This form constitutes the entire understanding of the agreement. Memorial Card Sent _______
Thank You Sent ___________
Items (s) Purchased: