Please provide the following contact information:
Name Street Address Address (cont.) City State/Province Zip/Postal Code Country E-mail
Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
E-mail
Membership:
Select one of the following options that apply:
Student - $5 Senior - $5 Individual - $15 Family - $25 Benefactor - $100 Corporation - $200 Other Gift -
(Please print form and mail with payment)
Select any or all of the following options that apply:
Publicity/Newsletter/communication Fundraising Membership/Recruitment Advocacy Volunteering at the library Hospitality/Refreshments Library Programs Serve a term on the Library Foundation Board
Membership form (pdf file)