Friends
Of The Benzie Shores District Library
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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 ______
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