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