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Please print, complete and mail this memorial donation form with your check, payable to the David A. Howe Public Library, to:

David A. Howe Public Library
155 N. Main St.
Wellsville, NY 14895

 

Enclosed is a contribution of $ to the

  Collection Development Fund
  Endowment Fund
  Capital Projects Fund
  Programming Fund
  Technology Fund

This gift is made in

memory of     honor of

It is given by

           	Title  
              Name   
    Organization  (if applicable) 
  Street Address  
 Address (cont.)  
                 City  
	State          Zip Code 
             Phone  
            E-mail  

Please send an acknowledgement of my gift to

                 Title  
                Name  
     Organization  (if applicable)
   Street Address  
 Address (cont.)  
                  City  
  	State  Zip Code  
      
 Additional information
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________


Thank you for your generosity.
All contributions are tax-deductible in the U.S.
The David A. Howe Public Library is recognized as tax exempt under section 501(c)(3) of the Internal Revenue Code.

Revised: March 26, 2014

David A. Howe Public Library, 155 N. Main St., Wellsville, NY 14895
Phone: 585-593-3410   Fax: 585-593-4176   Email:
wellsville@stls.org