Building Fund or Book Memorial Form

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Thank you for considering a memorial in honor of your loved one. Please complete the information below so that the library staff may fulfill your generous request. You may make a payment online through the Network for Good button on the library's home page, swsmithlibrary.org, or personal checks may be written to the S.W. Smith Memorial Public Library and mailed to 201 E Maple Street Port Allegany, PA 16743. For questions about this form, please call 814-642-9210.

Name of donor(s) *

Address of donor(s) *

Donor contact information (phone number or email) *

Amount of memorial in US Dollars *

Donating online or mailing check to the library? *

donating online through Network for Good: https://www.networkforgood.org/donation/ExpressDonation.aspx?ORGID2=25-1029715&vlrStratCode=6I130Y5WKgQntcl4w1HFkKUxV2FG1%2f02rGw8tMFF0LRe70vI1HLnfmX69t2YSv%2be

mailing a check to the S.W. Smith Memorial Public Library: 201 E Maple Street Port Allegany, PA 167463

bringing donation into the library

Other:

Required

Name of Person(s) for Memorial *

Name(s) of the family member(s) to be notified of the memorial *

Address of family to be notified of the memorial *

Is this memorial for the Building Fund or for a book? *

Building Fund memorial

Book Memorial

Required

If this is a book memorial, you may provide suggestions for the book purchase. Consider the person's favorite author, series, genre, interests, or hobbies. For example, "My aunt enjoyed cozy mysteries. She loved all things British." Or a more general choice, "I would like the memorial donation to go toward children's books." The library staff will do their best to accommodate your request.

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