Mission San Jose High School
Adopt-a-Book Program

 

Your Name: _________________________________________________________________________________________

Address: ____________________________________________________________________________________________

 

Book Title:__________________________________________________________________________Amount: $__________
 
Donation in Honor or Memory of:
(circle appropriate choice & provide name) ______________________________________________________

Their Address:
(for acknowledgement)_____________________________________________________________________________________
 
Book Title:__________________________________________________________________________Amount: $__________
 
Donation in Honor or Memory of:
(circle appropriate choice & provide name) ______________________________________________________

Their Address:
(for acknowledgement)_____________________________________________________________________________________
 
Book Title:__________________________________________________________________________Amount: $__________
 
Donation in Honor or Memory of:
(circle appropriate choice & provide name) ______________________________________________________

Their Address:
(for acknowledgement)_____________________________________________________________________________________
 


______Please have the library staff select the book(s) most needed.                               Donation Amount: $__________


______Please select the book(s) of the following genre ________________________________________________________



 
Total Amount Submitted:___________________________________