Murrysville Community Library Memorial Form

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

Murrysville Community Library Memorial Fund

I wish to give a book in memory of___________________________________________

Presented by____________________________________________________________

Address_________________________________________ Phone _______________

City_________________________ State___________ Zip Code__________________

Please send the card to___________________________________________________

Address_______________________________________________________________

City_______________________ State_____________ Zip Code_________________

Book plate to read as follows:

Presented to
Murrysville Community Library
In Memory Of
______________________________________________
by
______________________________________________

Suggested topics of interest:

First choice ________________________

Second choice ________________________

Third choice ________________________

Thank you for choosing this special way of honoring the memory of a dear one. With each memorial, a special card is sent to the family. A memorial book plate is placed in each book with the name of the honored person and the donor's name. A minimum donation of $20.00 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