Donation: Children's Room Renovation Name - Streator Public Library

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Page 1. Donation: Children's Room Renovation. Name: Address: Phone: E-mail: Amount: Memorial or Honorary Contribution. I
Donation: Children’s Room Renovation Name:_________________________________________ Address:________________________________________ Phone:_________________________________________ E-mail:_________________________________________ Amount:_______________________________________

Memorial or Honorary Contribution In memory of:_____________________________________ Or In honor of_________________________________________ Acknowledgement to:________________________________ Acknowledgement address:____________________________ __________________________________________________ Thank you for your contribution!