The Benzie Shores District LibraryFriends Of The Benzie Shores District Library

Membership and Contribution Form

Membership:

      Individual -- $5.00    
      Family -- $10.00        
      Patron -- $25.00
      Business and Professional -- $35.00
      Contributing -- $50.00 or more
      Contribution of: $ ________ to the Endowment Fund
        (minimum of $100 for membership)

Name    _______________________________________________________

Address _______________________________________________________

City    _______________________ State _________ Zip Code ______

Phone   _______________________

  I would like to be an Active member — please call me.


Memorial Contributions:

A Contribution of $_______ is made in memory of _______________

               Please send a personal acknowledgement 
                     (no amount mentioned) to:

Name    _______________________________________________________

Address _______________________________________________________

City    _______________________ State _________ Zip Code ______



Thank You for Your Support!


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