Friends of the Bullhead City Library

 MEMBERSHIP APPLICATION

 

NAME___________________________________________________ DATE ___________

MAILING ADDRESS ________________________________________________________

TELEPHONE _____________________________________________________________

TYPE OF MEMBERSHIP:

Individual ..........($3.00) __________
Family ..............($5.00) __________
Patron ..............($25.00) __________
Sponsor ............($50.00) __________
Benefactor .........($100.00) __________

 

Renewal: yes_____ no_____ Address or Phone change: yes_____ no_____

 

Please print and complete this application.  After completing the application, just mail the form with your membership contribution to:

Friends of the Bullhead Library
1170 Hancock Rd
Bullhead City  AZ   86442