FRIENDS OF THE FREEPORT MEMORIAL LIBRARY MEMBERSHIP APPLICATION
Friends of the Freeport Memorial Library is a 501(c)(3) corporation. Your donation is tax deductible under the limits of federal and state laws.
Please Print:
Please check Annual Membership Level:
Individual $20 _______ Benefactor $50 ________ Corporate Matching Gift: _____________ Additional Contribution: _____________
Title (please circle): Dr. Mr. Mrs. Ms. Other: _____________
First Name: _____________________________________________ Last Name: _____________________________________________________________
Business Name (If Corporate Membership): ________________________________________________________________________________________________
Street Address: ______________________________________________ Town: _________________________ State: _____________ Zip: _______________
Phone: ______________________________________________ Email: _______________________________________________________________________
I would like to be an ACTIVE ___ or INACTIVE ____ member.