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Membership/Donation Form

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Membership/Donation Form

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Name:

Address:

Apt, suite, etc.

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Primary Phone Number:

E-mail Address:

Donation [Membership not included] - Please Check One:

$25.00

$50.00

$75.00

$100.00

$250.00

$250.00

Membership - Please Check One:

$10.00 Annually – Associate

$20.00 Annually – Supporting

$50.00 Annually – Enthusiast

$200.00 One Time – Lifetime

Total Amount [From Both Membership and Donation]:

Please make check payable to MENLO PARK FRIENDS OF THE LIBRARY.

Return to Menlo Park Library or mail to:

MENLO PARK FRIENDS OF THE LIBRARY
ATTN. TREASURER
800 ALMA ST
MENLO PARK, CA 94025

Thank you for supporting the Friends of the Menlo Park Library.

Friends of the Menlo Park Library | Copyright © 2004-2017