Memorial/Donation to the Olean Public Library


Donor information. List additional donors on back.

Name:
Address:
City: State: Zip:
Phone:

How do you want your donation listed? In Memory of   In Honor of

Name of Honoree:


Individual or family to notify.

Name:
Address:
City: State: Zip:
Phone:

If you want your donation used for a particular program, item or title, or for general use such as a subject, book, video, furniture, please indicate below.

Donation amount $

Do you want to examine this item before it is placed into circulation? Yes No


Print this completed form and mail with check payable to:
Olean Public Library
134 N 2ND ST
OLEAN NY 14760-2583


Acknowledgement for tax purposes will be sent to the donor.

©Olean Public Library, 2016. Print button script is written by Eric (Webcrawl@usa.net) for full source code.