Library of Congress Book Donation Request Form

Indicates required field

Organization Information

Name of organization

Brief Description of Organization

Contact Information

Prefix

First Name

Last Name

Job Title

Phone Number

Address

Street Address

Street Address 2

City

State

ZIP Code

Certification

I certify that the organization or institution listed is one of the following: a full-time, tax supported, or nonprofit educational institution: school, school system, college, university, museum, or public library, -agency of local, state, or federal government, or nonprofit institution or organization that has tax- exempt status under the section 501 of the Internal Revenue Code of 1954 (see 41 CFR 101-44.207 (a)(17)) and that operates a library and/or research provisions center open to the public.

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