Friends of the Valle Vista Library
MEMBERSHIP APPLICATION
| Name:
__________________________________ |
Date:
___________ |
| Mailing
Address: |
___________________________________________ |
| |
___________________________________________ |
| Telephone: |
___________________________________________ |
| Type of
Membership: |
____
Individual/Family |
($5) |
| |
____ Patron |
($25) |
| |
____ Sponsor |
($50) |
| |
____ Benefactor |
($100) |
| |
____ Life |
($250) |
| |
____ Check here
if this is a renewal.
Dues and contributions are tax-deductible to the extent allowed by
law. |
| Shall we call
to notify you of Friends meetings? |
____Yes |
____No |
Please check the areas in which you are most
interested in participating:
| ____ |
Programs |
| ____ |
Public
Relations |
| ____ |
Building
membership |
| ____ |
Money-raising
projects |
| ____ |
Summer Reading
Program for Children |
| ____ |
Volunteer
services at library |
| ____ |
Attend meetings
of the Mohave County Library District Citizen's Advisory Committee |
| ____ |
Speaking to
local groups about library services and needs |
Please print and complete
this application. After completing the application, just mail the
form with your membership contribution to:
Friends of the Valle Vista Public Library
c/o Valle Vista Library
7193 Concho Drive
Kingman, AZ 86401 |