A donation to the library is a thoughtful gift that will continue to be used by people in the community.
All contributions are tax deductible.
Please print:
Date____________________
Enclosed is a contribution in the amount of $__________________________
In MEMORY of ______________________________________________________________________
OR
In HONOR of ________________________________________________________________________
OR
In CELEBRATION of _________________________________________________________________
The contribution shall be used:
___ As needed for general library materials or programs
___ For the purchase of a book and bookplate ($15 minimum contribution)
Please indicate a location, if desired:
___ Main Library - Adult ___ Main Library - Children's ___ Main Library - Outreach
___ Gibsonburg Branch ___ Green Springs Branch ___ Woodville Branch
Send notification of gift to:
Name_________________________________________________________________________
Address_______________________________________________________________________
City, State, Zip _________________________________________________________________
From:
Name_________________________________________________________________________
Address_______________________________________________________________________
City, State, Zip _________________________________________________________________
This form may be mailed along with your contribution to:
Birchard Public Library Administration
423 Croghan Street
Fremont, OH 43420