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MEMORIALS 
 

If you would like to make a donation to the Prospect Community Library please print and complete the form below and mail to us at :

Prospect Community Library

P.O. Box 257, Main Street

Prospect,  PA  16052

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 - Prospect Community Library

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