Membership Form

If you wish to become a member of the Friends of the Scranton Public Library, please print out the following form, and send it with a check or money order payable to the Friends of the Scranton Public Library to:

(Regular/1 - Year Commitment)

Yes, you can count on me! I am interested in joining the Friends of the Scranton Public Library. I am enclosing my membership for:

• _____ $5 - Senior Citizen/Student
• _____ $10 - Individual
• _____ $15 - Family
• _____ $30 - Business

Name: _________________________________________

Address: _______________________________________

______________________________________________

Phone #: (______) _________-_____________

E-mail: ________________________________________

Thank You!