I wish this gift to be made:      _______ In Honor of      _______ In Memory of

Name: _____________________________________

This gift was given by:
Name: ______________________________________________________________
Address: ______________________________________________________________
Phone #:________________________________
Email:__________________________________

Please Send Acknowledgement to (one acknowledgement please) ____________________________ ______________________________________________________________________________ ______________________________________________________________________________

You may personalize your memorial/honorarium gift with a 30 character sentence/expression. (i.e. - friend of the library; loved children's story time or avid sportsmen).

Gift Amount: $___________                       Check # ___________ Cash ___________

Please make your check payable to: ECPL Book Endowment, Erie County Public Library Foundation, Inc., Blasco Library, 160 East Front Street, Erie, PA 16507. For more information please call 814-451-6952.