MEMBERSHIP FORM

Yes, I would like to support the Martinez Library by becoming a member of the Friends of the Martinez Library.

Name (please list all names for "Family" memberships)
 

____________________________________________________________

 
Street Address

____________________________________________________________

____________________________________________________________

City/State/Zip code

____________________________________________________________

Phone

____________________________________________________________

Email

____________________________________________________________

(   ) New     (   ) Renewal

 

Type of Membership:

(   ) Basic ($5 / year)
(   ) Sustaining ($10 / year)
(   ) Contributing ($25 / year)
(   ) Supporting ($50 / year)
(   ) Book Lover ($100 / year)
(   ) Literary Lion ($250 / year)
(   ) Additional Gift: $________

Are you able to help with ... ?

(   ) Programs

(   ) Membership

(   ) Newsletter

(   ) Publicity

(   ) Book Sales

(   ) Hospitality

Please send this form along with your check or money order for your dues to: