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MEMORIALS 
 

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

Slippery Rock Community Library

P.O. Box 25   316 North Main Street

Slipper Rock, PA  16057

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 - Slipper Rock 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)

 

Person or family of deceased to be notified:                Date Notified:___________       

__________________________________                

_________________________________

__________________________________

                                                                                   Amount and date Paid:_______

                                                                                              (effective October 1st, 2003)

                                                                                 (Regular print book - $25.00 Minimum)

                                                        (Large print book- $30.00 Minimum)

For Library Use:

Call No. , Author and Title

__________________________________________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________

___ Memorial Book 

___Memorial Fund