Single Membership        $10

Couple Membership       $15

Family Membership       $25

Patron Membership       $50

NAME ________________________________

ADDRESS _____________________________

_____________________________________

PHONE _______________________________

EMAIL _______________________________

(The email address is used to send meeting reminders)

I’d Like to Help:

___ Programs for children

___ Programs for adults

___The Friends of the Library Used Book Sale

___The Used Book Store

___Special Events

___Volunteer at the Library

(Checks payable to: Friends of the Lake City Public Library. Please mail your form, or drop it off at the library).