Friends Membership Form

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Friends of the Hartland Public Library
Membership Form

Name(s): ______________________________________________________________

Membership Level

Friend ($10.00 per year*) ___________

Supporting Member ($25.00 per year*) ___________

Lifetime ($100.00 one time) ___________

Street Address: _________________________ Phone: ______________________

Town and Zip: _________________________ Email: _______________________

Are there ways in which you would like to help contribute to the library (volunteering for desk/shelf work, board membership, fundraising, etc.)? Please indicate below:

 

*Please note: Membership dues run from January 1 – December 31 each year. Dues in the first year of membership are not prorated.
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To be completed by Recipient:

Date received: _________________________________

Received by: ___________________________________________________________

Date deposited: ________________________________