Wichita Falls Public Library - Pet Memorial Form

wfpl logo pet banner

Please print this form, fill in the information, and send with check to:

Wichita Falls Public Library

Pet Memorial Program

600 11th Street

Wichita Falls, TX 76301

My Gift To The WFPL Pet Memorial Fund

Donor's Name _________________________________________________

Donor's Address _______________________________________________

_____________________________________________________________

Zip Code____________

Amount of Donation*_______________________
(Make check payable to Wichita Falls Public Library)

Phone______________

Name of Pet or Person to be Honored _______________________________

____________________________________________________________

Date_______________

Please feel free to send us a photo of your pet to be placed in the Pet Memory Book at the Library.

*(Minimum donation for book purchase, bookplate, and memory book plate is $25.00. However, all gifts are appreciated and acknowledged. The Library will make every effort to purchase the type of material you request, depending upon availability. We appreciate your donation.)

Name of specific Library location

I want my donation to be used:

and specific book if desired

	For Library materials about
___	animals and their care	_____________________________

	For children's materials	_____________________________
___	about animals
		_____________________________
	Where the materials are
___	needed most	_____________________________

Thank you. We appreciate your donation.