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



A Gift to the Murrysville Community Library

Presented by____________________________________________________________

Address_________________________________________ Phone _______________

City_________________________ State___________ Zip Code__________________

Please use my gift towards
  1. ___Books (if selected, please fill in Book Information)
  2. ___Undesignated
  3. ___Other_________________________________

    Book Information

    Book plate to read as follows:

    Presented by

    ______________________________________

    By

    ______________________________________

    Suggested topics of interest:

    First choice ____________________________

    Second choice _____________________________

    Third choice _________________________________

Thank you for giving to the Murrysville Community Library. A minimum donation of $20.00 is requested for purchase of a book. 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