If you would
like to make a donation to The North Trails Public Library -
Home of the Book Mobile, please print and complete the form
below and mail to us at :
Butler
County Extension Services
1553 West
Sunbury Road
West Sunbury,
PA 16061
We accept
donations as memorials and honorariums. You may specify if
you wish your donation to be for a book or a donation to the
general fund. We send all givers a note and will also send
an acknowledgement to the family of the deceased or to the
person you wish to honor.
____________________________________________________________________
Memorial Gift Record - Butler County Extension Services
Please Circle
one that applies
In Memory
or In Honor of
_____________________________________
Presented by
_________________________________________________
____________________________________________________________
(Please
include name, address and phone number for a contact person)
Suggested
titles or
subjects:______________________________________________________
_____________________________________________________________
Person or
family of deceased to be notified: Date
Notified:___________
__________________________________
_________________________________
__________________________________
Amount and date Paid:_______
($20.00-children's book / $25.00-adult
book)
For Library
Use:
Call No. ,
Author and Title
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
___ Memorial
Book
___Memorial
Fund
