Friends Membership Application

MEMBERSHIP APPLICATION

FRIENDS OF THE COLUMBIA COUNTY PUBLIC LIBRARY

___ New Membership

___ Renewal

Join or renew now - Membership goes to Feb. 2008

`___ Individual`	`$ 5.`
`___ Family`	`$ 10.`
`___ Organization`	`$ 25.`
`___ Sustaining Donor`	`$ 50.`
`___ Sponsor`	`$ 100.`
`___ Contributing`	`$ ___`

Name ________________________________________

Address ______________________________________

City __________________ State _____ Zip _________

Telephone ____________________________________

Email________________________________________

A copy of the official registration (#SC-05830) and financial information may be obtained from the Division of Consumer Services by calling toll-free 1-800-435-7352 within the state. Registration does not imply endorsement, approval, or recommendation by the state. This organization retains 100% of all contributions received.

Please make checks payable to:

Friends of the Columbia County Public Library
308 NW Columbia Avenue
Lake City, Florida 32055
(386) 758-1018
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This page maintained by the staff of the Columbia County Public Library

Last update 9/3/2007