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Please print this page, fill it out, and send it with your check to the address stated below. Thank you.

MEMBERSHIP FORM FOR FRIENDS OF THE LIBRARY

Date/Year_______________________

Name___________________________

Address_________________________

_______________________________

City_________________Zip_________

Phone(      )______________________

E-Mail___________________________

Types of Memberships

Platinum           $250
Gold                  $100
Silver                 $50
Bronze               $25
Family                $15
Individual           $10
Junior               $7
Amount Enclosed: _______

I can help the Friends with

__ Book Room Pricing & Filling
    Shelves

__ Special Book Sales

__ Programs

__ Membership

__ Communications

__ Hospitality

__ Landscape

__ Publicity

__ Fund-Raising

__ I would be interested in helping
    to underwrite the Library's special
    projects.

 

*****

 

Mail Contributions along with your form to:

Friends of the Library

Ozark-Dale County Public Library

416 James St.
Ozark, Al 36360
334-774-5480

 

**Do not send cash through the mail.**

 

Thank you for joining the Friends of the Ozark-Dale County Public Library.