Memorial Gifts

Memorial Gifts
The Library accepts memorial donations for deceased as well as to honor those who are still living. Memorials are also accepted for pets. Patrons interested in this service should email Adult Services, call (937) 599-4189 or complete this online form.

Donor's Name

Donor's Phone Number

Author, Title or Subject

Price Range

Please enter the exact amount or a price range you wish to donate.

In Memory of

Given By

Please enter the name and address of the person(s) donating.

Relatives to Notify

Please include names and addresses.

Relatives to Notify
	Relatives to Notify Name Address Address 2 City/Town State/Province ZIP/Postal Code	Item weight

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