Friends of South Park Library Membership Form
2017 - 2018
Name: _____________________________________ Phone: __________________________
Address:_______________________________________________________________
E-mail Address at Home: _________________________________________________
(Please include your 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 and/or complete the following:
Business Name: __________________________________________________________
Business Address: ________________________________________________________
Business Phone number: ___________________________________________________
Business E-mail Address (work): _____________________________________________
__________ YES! I AM INTERESTED IN VOLUNTEERING. PLEASE CALL ME WHEN NEEDED.
MAIL OR BRING MEMBERSHIP FORM TO THE LIBRARY WITH CASH OR
CHECK TO:
Friends of South Park Township Library
2575 Brownsville
Road
South Park, PA 15129
Please Mark Your Check "Membership"