Fill out the form below to request a Memorial/Honorarium. Once submitted, your request will be reviewed, and library staff will be in contact. Name of deceased OR person to be honored Donor name(s) Organization Name (if applicable) Bill to: Name Address Address Address 2 City/Town State/Province - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code Phone FAMILY MEMBER OR PERSON TO RECEIVE NOTICE OF MEMORIAL Name Address of person to receive notice of memorial Address City/Town State/Province - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code (In most cases, only one person is notified - $.50 per each additional notification requested) Average price of adult books - $20.00 & Up Average price of children's books - $15.00 & Up Average price of large print books - $30.00 & Up Average price of DVD/CD - $20.00 & Up Specific subject area Do not guarantee that books on a certain subject area can be obtained but we will try. Do not guarantee how long a book will remain in collection; may be weeded after 3 years if not circulating. Recommended areas of purchase: Best sellers, fiction, children's fiction & non-fiction, large print, DVDs, CDs CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Leave this field blank