Your Name *
Your phone number *
Your email address
Your address *
Is this a Memorial or an Honorarium? *
Full name of person in whose memory/honor you are donating. *
Would you like your donation to be used for: *
If you would like your donation used for a book, list any book subject preferences and our librarians will do their best.
Is there someone we should notify of your gift? Please provide full name and address.
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This form was created inside of Butler County Federated Library System.