Membership Application
Palm Harbor Friends of the Library
Please print out this form, fill it out, and send it with a check made payable to Palm Harbor Friends of the Library, Inc. to:
Palm Harbor Friends of the Library
2330 Nebraska Ave.
Palm Harbor, FL 34683
| Name: |
| Address:
|
| Phone: |
| Dues and Donations: [ ] $ 5.00 - Individual [ ] $15.00 - Family [ ] $25.00 - Donor [ ] $50.00 - Business |
| LIFE MEMBERSHIPS: [ ] $ 100.00 - Giving Tree Leaf [ ] $1000.00 - Foundation Rock |
| Status: [ ] New [ ] Renewal [ ] Gift |
| I would like to assist the Friends as a: [ ] Library Volunteer [ ] Literacy Tutor |
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