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Grace St. Luke's Birthday
Book Donation Form
To
view this form and a letter from Judy Miller, Librarian
in pdf format , click
here
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- Please complete a separate form for each person.
- Complete the information requested below
- Check must be $20.00 or more for each person honored. This
amount covers the cost of one book
- Make check payable to Grace St. Luke's Birthday Books
- Return Form(s) and Check to:Birthday Books, Attention: Judy Miller
Grace St. Luke's Episcopal School
246 S. Belvedere Blvd.
Memphis, Tennessee, 38104
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I would like to donate a book in honor of
the following person to Grace St. Luke's Episcopal School library. I
am enclosing a check in the amount of $_____________ ($20.00 or more
per person) made out to Grace St. Luke's Birthday Books. |
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Honoree Information:
Name: __________________________________________Birthday: ______________________
Grade:
__________________________________________Teacher: ______________________
Donor Information:
Name: __________________________________________
Address: _________________________________________
City: ______________________State: _______Zip
Code: ___________
Email Address: __________________________Telephone
Number: ______________________
Relationship to Honoree: ______________________
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Dedication as you would like to appear on the Book
Plate: ______________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
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Office Use Only
Check # ____________ Date Received:___________________ Amount:
__________________
Date Celebrated: ___________ Donation Acknowledged:
____________ #
of Books ________
Title of Book(s): ___________________________________________________________________
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