Please print this form and bring it to the library or mail it in with your donation.

Ligonier Valley Library Memorial Fund

I wish to give a book in memory of ______________________________________________

Presented by _______________________________________________________________

Address _______________________________________ Phone ______________________

City __________________________  State _____________  Zip Code _________________

Please send the card to ________________________________________________________

Address ___________________________________________________________________

City __________________________  State _____________  Zip Code _________________

Book plate:

By

In Memory of

Suggested topics of interest:

First choice _____________    Second Choice _____________  Third Choice  _____________

If you are having trouble choosing a topic, you can also write open
and the library will choose something needed for our collection.

Thank you for choosing our library to honor the memory of a loved one.  A card will be sent to the family, informing them of your donation.  A memorial book plate is placed in each book with the name of the honored person and the donor's name.  A minimum donation of $25.00 is requested.  Please make the check payable to the Ligonier Valley Library.  Please fill out this form and bring or mail it in to the library with your contribution.

Amount enclosed $_____________