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Friends of the
Library
Annual Membership
Application
June 1, 2009 - May 31,
2010
Please print out and
complete form.
Return with your check
to:
Friends of the John C. Hart
Memorial Library
1130 Main Street, Shrub Oak, NY
10588.
Name:_________________________________________________________
Address:_______________________________________________________
City
/ State /
Zip:________________________________________________
Phone
Number:_________________________________________________
| Check
One: |
| Student/Senior:____$5.00 |
Individual:_____$10.00 |
Family:_____$15.00 |
| Donor:_____$25.00 |
Sponsor:_____$50.00 |
|
Make checks payable
to "Friends of Hart Library."
All
contributions are tax deductible. Please use a
matching fund corporate form if available, from your
place of business.
Are you available to help with the
following?
| _____ Friends Book Sale |
|
| _____ Homebound Delivery |
|
| _____ Bake Sale |
|
| _____ Other (as needed) |
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