Name:
......____________________________________________
Address: .____________________________________________
Type of
Membership:
____ New
____ Renewal
Membership level:
____ Family $10
____ Sponsor $25 - $50
____ Patron $100 -
____ Individual $5
____ Senior/Student $5
Please charge to: _____
VISA _____ MasterCard
Card number: ________________________ Exp. Date: _____________
Signature: ___________________________
Make checks payable to
the Friends of the Englewood Library.
All contributions are
tax deductible.
Please
mail this form to:
Friends of the Englewood Library
P.O. Box 189 Engle Street
Englewood, NJ 07631
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