GIFT FORM
Hebert Public Library
Gift amount: $________
____ Check
____ Cash
Name of person being honored (exactly as you want it to appear on the bookplate);
___________________________________________________________________________
Type of Gift:
Anniversary
____Memorial
Graduation
____Tribute (please circle a category below)
Birthday
Retirement
Other ____________________
Book preferences (if any):
___ Children’s
____ Adult
Subjects: _______________________________________
Donor information:
Name ____________________________________________________________________
Address __________________________________________________________________
Phone ________________________
Notification letter: Please provide an address for the honoree or the honoree’s family.
Name ____________________________________________________________________
Address __________________________________________________________________
Signature: ______________________________________ Date: ____________________
Please make check payable to Hebert Public Library.
Return with payment to Hebert Public Library, 2025 Merriman St., Port Neches, TX 77651