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Friends Of The Library Northwest Application Print

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