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FRIENDS OF THE LIBRARY, NORTHWEST BRANCH 

MEMBERSHIP APPLICATION

Name: ______________________________________

Address:_____________________________________

             _____________________________________

Phone: ______________________________________

Email: ______________________________________

Birthday:   Monday _________     Day __________

Year joined the Friends: ________________

Membership Dues:

• Individual $5.00/year
• Family $7.50/year
• Organization $50.00/year
• Contributing $100.00/year
• Life $500.00
• Student $2.00

Please print, complete and mail, along with dues, to:

Friends of the Library, Northwest Branch 

5680 State Road PP

High Ridge, MO  63049