Memorial Form

Our Memorial Form enables you to donate money that will be used to purchase an item for the collection. A memorial book plate will be placed inside the front cover of the item. While you may not be able to select exact titles for memorial items, you can give suggestions for general subjects or areas of interest.

A printable PDF version of the form is also available here.

Name*
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Plaque Information
Honoree Name*
Name of the person for whom the memorial is being placed.
Plaque Text*
What the actual plaque will say. "In Memory Of _______"
Library Material
Book/AV Item Subject Suggestion
Suggest a material for the library to acquire. While you may not be able to select exact titles for memorial items, you can give suggestions for general subjects or areas of interest.
Donation Amount*
Payment is due when the memorial is placed.

Memorial Form

Plaque Information

Library Material