Friends of the Library

Membership Form

Good through May 31, 2009

I wish to:

[   ] join the Friends of the Library

[   ] renew my membership

in the following category:

[   ] Individual $7.00

[   ] Senior or Student $5.00

[   ] Family $15.00

[   ] Contributor $25.00

[   ] Patron $50.00

In addition, I wish to make a donation to:

[   ] The Archival Center $________

[   ] The Endowment Fund $______

[   ] The General Fund $_________

Name____________________________

Street____________________________

City______________________________

State____________    Zip Code________

E-mail____________________________

Please make checks payable to

Friends of the Library for memberships and donations to special funds.

Mail this form with payment to:

Friends of the Library

Newburyport Public Library

94 State Street

Newburyport, MA  01950

(or drop off at the library)

Thank you