Friends Membership Application Form

Please print out the form, detach the card for your receipt, and mail in the bottom half.

 

Friends of the Haverhill Public Library
Membership Card

Name:
Type of Membership:
Dues Amount Paid:

please detach this portion for your receipt
and return bottom half to library.
 

Membership in Friends of the Haverhill Public Library

Please enter my membership in the Friends for the current year

I enclose:
 _____ $500 Life
 _____ $200 Benefactor
 _____ $100 Patron
 _____ $50 Sponsor
 _____ $25 Family
 _____ $10 Individual
 _____ $5 Student or Senior

I Would be interested in the areas I have checked below:

Volunteering:
 _____ Regularly at the library
 _____ For Library Special Projects
 _____ For Annual Book Sales
 _____ Providing Refreshments
 _____ Staffing the Friends' Shop
Other:

Attending:
 _____ Programs (please offer suggestions on the reverse)
 _____ Fundraising Events
 _____ Trips as a Group
Other: (please specify)

 

Name:
Address:
Telephone:

 

 

 

 

 

 

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