The Richard and Gina Santori Public Library of Aurora
Book Naming Form for Staff Members
Number of Book Plates requested: ______ @ $20 each
GRAND TOTAL $__________
Each book plate will be inscribed according to the guidelines below. Line #1 of the Book plate will read, “In
Recognition of.” Lines 2 and 3 are your inscription to determine. Each line may be up to 16 characters, including
spaces. Some inscription examples:
Example #1
Example #2
In Recognition of
Frank Smith
Edith Jones
Example #3
In Recognition of
Samantha, Jake &
Zack Neumann
In Recognition of
The Thompson Family
BOOK PLATE #1
BOOK PLATE #3
Line # 1: In Recognition of
Line # 1: In Recognition of
Line #2:
Line #2:
Line #3:
Line #3:
Genre: Please Circle Choice Below
Genre: Please Circle Choice Below
Children’s * Fiction * Non-Fiction * Historical
Children’s * Fiction * Non-Fiction * Historical
BOOK PLATE #2
BOOK PLATE #4
Line # 1: In Recognition of
Line # 1: In Recognition of
Line #2:
Line #2:
Line #3:
Line #3:
Genre: Please Circle Choice Below
Genre: Please Circle Choice Below
Children’s * Fiction * Non-Fiction * Historical
Children’s * Fiction * Non-Fiction * Historical
Every effort will be made to honor your genre choice. We may not be able to fulfill all requests. Thank you!
Name of purchaser:____________________________________________
Contact information
Phone:________________________________________________________
Email:_________________________________________________________