Memorial and Honor Book Information
Form:
Title of Book: ____________________________________________________________
Author of Book: __________________________________________________________
Donated by:
NAME: ___________________________________________________________
(Please print name as it should be worded on bookplate)
ADDRESS: _______________________________________________________
_______________________________________________________
____ In Memory of
____ In Honor of
____ Birthday ______ Age _____ Date of Birthday ______________________________
Other event (such as retirement) _____________________________________________
Please list event __________________________________________________________
NAME of person honored __________________________________________________
Library:
PLEASE LIST BELOW THE NAMES AND ADDRESSES OF THOSE WHO SHOULD BE NOTIFIED OF THE DONATION.
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