Please print out this form and mail it in with your donation.



Murrysville Community Library Birthday Book Club

I wish to give a book in honor of:

Name _______________________________

Age ______________ Birthdate ______________

Address__________________________________

City ______________________ State ____________ Zip Code ___________



Presented by____________________________________________________________

Address_________________________________________ Phone _______________

City_________________________ State___________ Zip Code__________________


Thank you for choosing this way to celebrate a birthday! With each gift a special card is sent to the child. A book plate is placed in each book with the name of the honoree and the donor's name. A minimum donation of $15.00 is requested. Please make the check payable to the Murrysville Community Library. Please fill out this form and bring or mail it to the library with your contribution.

Amount enclosed $_________


Murrysville Community Library
4130 Sardis Road
Murrysville, PA 15668

724-327-1102