CASH DONATION ACKNOWLEDGEMENT FORM

    Suggested donation for new materials

    o        $25     Children’s Book
    o        $25     Young Adult/Teen Book
    o        $25     Music CD
    o        $25     Movie DVD
    o        $35     Adult Fiction or Nonfiction Book
    o        $50     Audio Book
    o        $50     Reference Book
Your Name
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Your Email Address
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Recipiient's Name
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Recipient's Address or
Email Address

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Material Type
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                             Print and Mail This Form with Your Donation to:

                                   Friends of the Libraries, Kona
                                   75-138 Hualalai Road
                                   Kailua-Kona, HI 96740