Adopt A Book form 2003
Shared by: jamiemccoy
Remembered in Words and Deeds Honor a special friend or loved one with a commemorative bookplate placed inside a book in the Glendale Public Library. A letter will be sent to the recipient or the recipient’s family indicating that a book has been placed on the shelves of the Glendale Public Library in their honor or memory. ❑ In honor of ❑ In memory of RECIPIENT’S NAME ____________________________________________ NAME / ADDRESS of RECIPIENT OR TYPE OF BOOK RECIPIENT’S FAMILY ❑ Children’s ($20 each) ________________________________________ Name ❑ Adult Fiction ($25 each) ❑ Adult Non-Fiction ($40 each) ________________________________________ ❑ Please choose an appropriate book for me Street Address ❑ I would like to help choose the type of book. Please call me. ________________________________________ City/State/Zip INSCRIPTION (25 words or less) ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Please enclose a check for the total amount made out to: YOUR NAME / ADDRESS / DAYTIME PHONE GLENDALE PUBLIC LIBRARY _____________________________________________ Send this form and your check to Name Chuck Wike Glendale Public Library _____________________________________________ 222 East Harvard Street Street Address Glendale, CA 91205 _____________________________________________ City/State/Zip DAYTIME PHONE Please us one form per book. Call Chuck Wike, (818) 548-2042, for more information. Your donation is tax exempt to the extent allowed by law.