Name |
____________________________________________ |
Address |
____________________________________________ |
|
____________________________________________ |
Phone |
____________________________________________ |
____________________________________________ |
| Regular | Family |
$25 $15 |
$ |
| Senior (62+) and Students |
Family Single |
$15 $10 |
$ $ |
| Business/Organizations | $100 | $ |
| Lifetime Membership | $175 | $ |
Additional contribution for |
$ | |
| Additional contribution for the gift shop |
$ | |
TOTAL |
$ |
Please indicate any of the volunteer activities that interest you:
❏ |
Book sales | ❏ |
Special events |
❏ |
Book reviews | ❏ |
Fund raising |
❏ |
Gift shop | ❏ |
Newsletter |
❏ |
Membership development | ❏ |
Other |
Make checks payable to
The Friends of the Broome County Public Library
Mail to 185 Court Street
Binghamton, NY 13901
For more information,
phone 607-778-6400
Dues and contributions are tax deductible.
Return to Membership