Friends of the Library - Annual Membership Application

 

_____ New Member         or              _____ Renewing Member           Date: ____________

Name: _______________________________                       Type of Membership: (Annual)

Address: _____________________________                       ___ Individual       $5

City, : _______________________________                        ___ Family            $10

State: _________      Zip:________________                        ___ Corporate      $25

Phone - Home: ________________________                       ___ Donor             $50                  

              Work: _________________________                       ___ Patron            $100

Email: __________________________                                  ___ Benefactor    $250                                                                                      

Make checks payable to: Friends of the Library    

Mail to:
Fulton County Public Library
320 W. 7th Street
Rochester, IN  46975-1332