Friends of South Park Library Membership form

Name: _____________________________________   Phone: __________________________

Address:_______________________________________________________________

E-mail Address at Home: _________________________________________________

(Please complete E-mail address in order to receive the Friends news letter.)

Please check one of the following membership options:

__________  Individual - $10.00

__________  Family - $15.00

__________  Lifetime Membership - $500

__________  Business - $30 or more - Attach business card/complete the following:

Business Name:  __________________________________________________________

Business Address:  ________________________________________________________

Business Phone number:  ___________________________________________________

Business E-mail Address (work): _____________________________________________

__________    YES!I AM INTERESTED IN VOLUNTEERING.  PLEASE CALL ME