Membership form 230183911

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Membership form 230183911 Powered By Docstoc
					Yes, I am a Friend of
the Goleta Valley Library!
Membership levels:

         Individual ……….…..$10 and up
         Family ..….....…….…$20 and up
         Patron ....…................. $50-$199
         Sponsor ..………....….$200-$499
         Library lover …...…… $500-$999
         Philanthropist ......$1,000 and up

         Memorials…….……$25 minimum

NAME
_________________________________________
ADDRESS
_________________________________________
_________________________________________
CITY
_________________________________________
ZIP CODE
_________________________________________
PHONE
_________________________________________
E-MAIL
_________________________________________
AMOUNT
_________________________________________


 Memberships of $50 and up receive a free “Friends of
             the Goleta Valley Library”
                     book bag.

Please return this form with your dues to:

           Friends of the Goleta Valley Library
                       P.O. Box 635
                 Goleta CA 93116-0635

Or give it to a Library staff member.

				
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posted:9/17/2012
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