Port Angeles Friends of the Library
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Membership Form
Dues are renewed once a year during the first two months of the year.
Please Print and Return to The Port Angeles Branch Library

Name		Date
Address		Phone
City/State/ZIP		Email Address
¨ New Member	¨ Renewing Member	¨ Support:    Book Fund: $______       General Fund: $______        Other: (Please Specify)___________________         $ ______

Please Check Amount Enclosed

Annual Memberships ¨ General.............................$10 ¨ Silver (65 or over)............$5 ¨ Junior (17 and under)......$5 ¨ Family or ..........................$15 ¨ Business...........................$20	Lifetime Memberships ¨ Life (Individual)...........$100 ¨ Patron..........................$200 ¨ Benefactor...................$300
I would like to help:
¨ Friends' Store ¨ Library Volunteer ¨ Newsletter	¨ Programs (hospitality) ¨ Special projects

Please print and mail to:

Port Angeles Friends of the Library Attn: Membership Chair PO Box 1720 Port Angeles, WA 98362

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Staff Use Only
Amount Paid_______________
Received by__________________
Received on_____________________

Card Issued:   Yes    No

Last revised June 22, 2007

Contacts: Reference Services, Children's Services, Outreach to the Homebound,
Port Angeles Branch, Sequim Branch, Forks Branch, Clallam Bay Branch,
NOLS Administration

Information: Employment, NOLS Policies