Gift Form
James Prendergast Library
509 Cherry Street
Jamestown, NY 14701

 

Enclosed is my tax-deductible contribution of $__________

(Please make checks payable to James Prendergast Library Association)

[   ]  My gift is in memory of:

[   ]  My gift is in honor of:
           
            On this special occasion:

            Birth__________  Birthday_________  Anniversary__________ 

            Promotion__________  Graduation__________  Other (Specify)__________

            (Note:  This is how the nameplate will be inscribed for each $25 donated)

Please send an acknowledgement card to:

At this address:

[   ]  Use gift donation where needed

My name and address: