Friends of Wellesley College Library
"Honor with Books" Order Form

Please complete this form and mail to the address below.

Personal Information:
First Name:
 __________________________________________________________________
Last Name: __________________________________________________________________
Address: __________________________________________________________________
City: __________________________________________________________________
State: __________________________________________________________________
Zip: __________________________________________________________________
Home Phone: __________________________________________________________________
Work Phone: __________________________________________________________________
E-mail: __________________________________________________________________
Bookplate information:

Honor with Books bookplates

Click on the image above to see larger bookplate images

Circle your choice of bookplate design: A B C D

Quantity: _____ "Honor with Books" bookplate(s) at $100 each

Honoree information:
First Name: ______________________________________________________________
Last Name: ______________________________________________________________
Bookplate inscription: ____In Celebration of     _____ In Honor of   ____ In Memory of
Other inscription text: ______________________________________________________________
On the occasion of:

____Anniversary ____Birthday ____Graduation

____Memorial ____Retirement ____Wedding
Other occasion: ______________________________________________________________
Book subject: ____Arts ____ Humanities ____Science ____No preference

 

Payment Type (circle one):

Check: Please make check payable to Wellesley College.

Credit Card:  MasterCard    Visa   American Express

 Optional - Send notification of this gift to:
Account Number: _______________________________________________ First Name: _________________________________________________
Expiration date: ________________________ Middle Name: _________________________________________________
Last Name: _________________________________________________
Mail to:
Kristina Grinder, c/o Friends of Wellesley College Library,
Wellesley College, Office for Resources, Green Hall 259, 106 Central Street, Wellesley, MA 02481

Thank you for your support!		 Address _________________________________________________
City _________________________________________________
State or Country ________________
Zip ________________