Making A Donation Is A Good Way
To Remember Friends And Loved Ones
All gifts to the Sparta Public Library are tax-deductible
Please complete this form and

Date:

 Donor Information:
 Name:   
 Address:
 Phone: e-mail:
 Memorial/Donation for:
 (Name, as you would like it to appear on the bookplate)

 Subject(s):

 Notification to be sent to:
 Name:   
 Address:
 Please check one: To be billed Payment enclosed
____________________________________________________
 Library Use Only
 Title(s) selected:
 Price(s): Date Ordered: Rec'd: