Donation Form

Celebrate an event or honor a loved one by making a monetary contribution in support of the Libraries’ collections. Each new item will receive a commemorative plate identifying the donor and the person being honored. The amount of all contributions will remain confidential.

Please send a check for the contribution amount indicated to: The Farmington Libraries Attn: Administration Office 6 Monteith Drive Farmington, CT 06302 You can reach out to Monique Kucia, the Assistant Director for Finance and Administration, at 860-673-6791 x5220 to confirm receipt of your form and for any additional questions. Thank you! Once we receive your check, we will send a letter to you confirming receipt of your tax-deductible donation.

First Name

Last Name

Phone

Address

Address 2

City

State

ZIP

Contribution Amount $

Collection Department

You may designate which department(s) should receive your donation.

Adult

Children's

Barney

No preference

(library staff will allocate the funds to the area of greatest need)

Gift Plate Type

I would like the gift plate to say:

No gift plate needed

In Honor Of:...

In Memory Of:...

In Appreciation Of:...

To Celebrate:...

Other…

Gift Plate Inscription

Please include the name, celebration, or other milestone to inscribe on the gift plate.

Would you like the library to notify an individual about your donation?

Yes

No

Name of person to notify

Address

Address 2

City

State

ZIP

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Please send a check for the contribution amount indicated to: The Farmington Libraries Attn: Administration Office 6 Monteith Drive Farmington, CT 06302 You can reach out to Monique Kucia, the Assistant Director for Finance and Administration, at 860-673-6791 x5220 to confirm receipt of your form and for any additional questions. Thank you! Once we receive your check, we will send a letter to you confirming receipt of your tax-deductible donation.

Farmington Library

Barney Library

Donation Form