Friends of the SCPL Annual Membership Application January - December

Name ____________________________________ Address _________________________________ City ____________________________________ State And Zip ___________________________ Phone ___________________________________

Student.......$5.00 Individual....$15.00 Family*.......$25.00 Business......$50.00 Patron........$100.00 Benefactor....$500.00 Life..........$1,000.00+ The Friends of the Stanly County Public Library is a non-profit corporation. Your contribution is tax deductible. Your cancelled check is your receipt.

* Names and Ages of Family Members If Family Membership: ________________________________________________ ________________________________________________ Please make checks payable to: Friends of the Stanly County Public Library, 133 East Main St., Albemarle, NC 28001-4993.

I would like to help with the following: q Program Planning q Book Sales q Membership

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