Membership Registration
Complete the form below to become a friend of the library
Name
First Name
Last Name
E-mail
Phone Number:
-
Area Code
Phone Number
Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Choose a membership option
prev
next
( X )
Individual (annually)
$15.00
$
15.00
Quantity
1
2
3
4
5
6
7
8
9
10
Family (annually)
$25.00
$
25.00
Quantity
1
2
3
4
5
6
7
8
9
10
Seniors (65 and older, annually)
$10.00
$
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
Organization/Corporate (annually)
$75.00
$
75.00
Quantity
1
2
3
4
5
6
7
8
9
10
Lifetime
$150.00
$
150.00
Quantity
1
2
3
4
5
6
7
8
9
10
Total
$0.00
$
0.00
Please let us know if you are interested in helping with:
Book sales
Fundraising
Publicity
Newsletter
Membership
Book pricing
Other
Other special skills and interests.
Occupation and/or volunteer experience
Enter the message as it's shown
*
Submit Application
Clear Form
Print Form
Should be Empty: