Memorials
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.
Submit
Never submit passwords through Google Forms.
This form was created inside of Butler County Federated Library System.