Friends Membership Application page title


Please check the following:

                
___ New Membership ___ Renewal Membership  
___ New Business Patron ___ Renewal Business Patron  
     
Enclosed is my check* payable to "Friends of the Flint Memorial Library, Inc." for:
___ $10 Senior/Students ___ $15 Individual ___ $100 Patron
___ $25 Family Membership ___ $50 Sustaining ___ $ Other Contribution
     
(*Friends of the Flint Memorial Library, Inc. is a nonprofit organization.  Your payment is tax deductible.)
___ I would like to volunteer to help the Friends with:
___ Membership Drive ___ Events Planning and Set up ___ Book Sale
     
___ Please include my membership and/or sponsorship on the Friends of the Flint Memorial Library, Inc. listing of members and sponsors for library  mailings:
Name(s)**:_______________________________________________________ Date:____________
___________________________________________________________
     
**For family memberships, you may wish to provide children's names and ages below:
_____________________________ _____________________________
_____________________________ _____________________________
     
Address:_____________________________________________________________
Phone: _________________________ Email:__________________________
     
Please print out this form and drop off
at the library or mail it with your check to:

Friends of the Flint Memorial Library, Inc.
P.O. Box 576
North Reading, MA 01864-1458

Library Phone:(978) 664-4942   Fax: (978) 664-0812