I/We would like to make a donation to the Batavia Public Library
District in the amount of ________ to be used to purchase
materials in the area(s) of
___________________________________________________________
This gift is given
In memory of
_____________________________________________
To celebrate a special event in the life of
________________________
Please
designate the special event:
Birth of____________________ Birthday
Anniversary
Other ____________________
Please send notification of this gift to:
Name_________________________________
Address_______________________________
City/State/Zip__________________________
My name and address:
Name_________________________________
Address________________________________
City/State/Zip___________________________
Telephone __________________________
The gift plate should read "Given by
_______________________________"
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