Friends of the Pittsburg Library: Membership Application

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

Name____________________________________________________________

Street Address: ____________________________________________________________
____________________________________________________________
City/State/Zip code: ____________________________________________________________
Phone: ____________________________________________________________
Email: ____________________________________________________________
( ) New ( ) Renewal
Type of Membership:: ( ) Student or Senior ($1.00 ); ( ) Individual ($3.00 )
( ) Family ($5.00)
( ) Supporting Member ($15.00)
( ) Sponsor ($25.00 )
( ) Life Member ($100)
( ) Additional Gift: $________
Are you able to help with ... ?: ( ) Pickups; ( ) Sales; ( ) Phone; ( ) Sorting

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

FRIENDS OF THE PITTSBURG LIBRARY
80 Power Ave.
Pittsburg, CA 94565-3842

Friends of the Pittsburg Library
80 Power Ave.
Pittsburg, CA 94565-3842