Membership Application
(Please print legibly)
Name:__________________________________ Phone#__________________________
Address:_________________________________________________________________
(Circle one)
Dues: A) Senior - $5 (individual) $10 (couple) B) Individual - $8 C) Family - $12 D) Sponsor - $15 E) Patron - $25 F) Booster - $50
G) Benefactor - $100 or more
(Circle one)
Volunteering: *Baking *Serve on Friends Council *Assist on Special Events
Please make your tax-deductible contribution check payable to "FRIENDS" and MAIL TO:
FRIENDS
c/o Cumberland Public Library
1464 Diamond Hill Road
Cumberland, RI 02864 |