Friends of the Lake Havasu Public Library

MEMBERSHIP APPLICATION

 

NAME___________________________________________________________________ 

MAILING ADDRESS ________________________________________________________

                                     ________________________________________________________

TELEPHONE _____________________________________DATE ___________________

____________New Membership

____________Renewal of Membership

TYPE OF MEMBERSHIP:

One adult......................($7.00) __________
Couple/Family...............($10.00) __________
   
Life Membership .........($100.00)
(Per Person)		 __________

 
I would like to make a donation of:

__________I prefer contribution  to remain anonymous

__________Please call: I'd like to participate as a volunteer.

$__________

 

 

 

  

Please print and complete this application.  Make checks payable to "Friends of the Library".

After completing the application, just mail the form with your membership contribution to:

Friends of the Lake Havasu Library
1770 McCulloch Blvd.
Lake Havasu City AZ 86403-8847