Name

Address

City / State / ZIP

Phone

Email

 Renewal   First-time Application

Please check membership
category desired

Dues

Tickets*

Please check areas of interest

 Individual

$10

2

 Book Sales

 Student

$5

2

 Cafe in the New Library

 Senior

$5

2

 Leadership in the Friends

 Family

$18

2

 Newsletter (contributions, pictures)

 Donor

$35

2

 Publicity for Friends' Activities

 Patron

$50

2

 Arts in the Library

 Sponsor

$75

2

 Youth Programs

 Benefactor

$100

4

 Other (please specify)

 Additional Donation

--

Total Amount Enclosed

* Denotes number of book sale preview tickets

 I wish my donation to remain anonymous. Dues and donations are tax deductible.

Annual memberships are from Jan 1^st to Dec 31^st.
Dues received after March 1^st are applied to the following year.