Please print and fill out the following form and mail in
with your check to the Sinclairville Free Library.
Thank you!

Sinclairville Free Library
15 Main St.
PO Box 609
Sinclairville, NY 14782-0609

A gift to...
Remember a loved one
Honor a special friend
Commemorate a birth, marriage, anniversary or other special event
Send a unique thank you

Your contribution will be used entirely for the purchase of books or other library materials or for the
operation of the Library. 

If you would like your contribution to purchase a specific book, please provide the following:

Area of Interest:

or

Title:

Author:


An acknowledgement card, with no mention of amount, will be sent to whomever you wish and an acknowledgement card will be sent to you with the amount of your donation.

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Enclosed is my tax-deductible contribution of $__________

(Please make checks payable to Sinclairville Free Library)

[   ]  My gift is in memory of:

or

[   ]  My gift is in honor of:
           
            On this special occasion:

            Birth__________  Birthday_________  Anniversary__________ 

            Promotion__________  Graduation__________  Other (Specify)__________


Please send an acknowledgement card to:

At this address:

My name and address: