Print this form and send to Eastern Monroe Public Library, 1002 N. 9th St., Stroudsburg, PA 18360.
 

Memorial Book Gift
Amount: $___________________________

Honor Book Gift
Amount: $____________________________
 

Donor Name__________________________

Address______________________________

____________________________________

Telephone____________________________
 

Bookplate should read:___________________

____________________________________

Subject area preferred by the donor:

____________________________________

____________________________________
 

Send acknowledgment to:

Name________________________________

Address______________________________

____________________________________