Library Home About the Library Opening Hours Location Membership Contact Us Collection Museum Services Help

 

Donation Form- Books

 

Please fill out this form, print and sign it then post or fax to the:

Library Manager
Ronald Lowe Library,
Royal Victorian Eye & Ear Hospital
Locked Bag 8,
East Melbourne
VIC 8002, Australia

Telephone: (03) 9929 8710
Fax: (03) 9639 1808
Email: library@eyeandear.org.au

Title Authors Publication Date Publisher No. of Copies
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
 
 
First Name:
Family Name:
Contact Telephone:
Contact Fax:
Email:
Address:
 

Signature:____________________________________ Date: _____________________

 

The Ronald Lowe Library is very grateful for your donations.

Thank-you.