Please print this page, fill in the information

and send to Lebanon Catholic School Library.

GIFT BOOK INFORMATION

(Please Print)

THIS BOOK IS GIVEN:

(Indicate name and /or organization as you wish it to appear on the bookplate.)

On the occasion of

___________________________________________

In honor of

___________________________________________

In memory of

___________________________________________

Donor Information

Name_______________________________________

Address______________________________________

City_______________State____ Zip Code___________

Contribution_________________

____ $15 - $25 per book

____More… Amount___________

Will be put towards sets of books or reference books.

Send Acknowledgement to:

Name________________________________________

Address______________________________________

City________________________ State_________ Zip Code ______________

FOR LIBRARY USE ONLY

Book Selected:

Author_______________________

Title _______________________

Date Acknowledgement was sent _______________