October 1, 2011—FRIENDS OF THE DESCANSO LIBRARYSeptember 30, 2012

Membership Form

Date _ _ _ _ _ _ _ _ _ _

Name(s)_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Mailing Address_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

City:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ State_ _ _ _ ZipCode_ _ _ _ _ _ _ _ _ _ _ _ _ _

Email:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Telephone(_ _ _ _)_ _ _ _ _ _ _ _

*Please do not include the following information in the Directory:
 ___Name    ___Address    ___Phone    ___email

MEMBERSHIP DONATION

     Individual  $15.00_____    Family   $25_____    Associate   $50.00 _____

     Business/Organization   $100.00 _____    Benefactor   $500.00 _____

Friends of the Descanso Library is registered as a nonprofit 501(c)3 organization. Membership dues and Donations may be Tax Deductible

In addition to my Annual Membership, I would like to contribute money to:

THE LEAVES OF KNOWLEDGE TREE PROJECT - $ _ _ _ _ _ _ _ _
($25.00 minimum if you want a nameplate added to the tree.  Pick up a brochure in the Library)

FRIENDS OF THE DESCANSO LIBRARY SCHOLARSHIP FUND: $ _ _ _ _ _ _ _ _

I am interested in volunteering:

Please make check payable to : Friends of the Descanso Library

Mail check and completed form to: P O Box 354, Descanso, CA 91916 (or drop it off in the library)

THANK YOU FOR YOUR MEMBERSHIP AND FINANCIAL SUPPORT

Click HERE or use your browser back arrow to return to member page after printing this form