Friends of Middletown Public Library
Membership Form
Membership Dues
Single $10 (per year)
Family $15 (per year)
Patron $25 (per year)
Business $30 (per year)
Life Member $300
Other Donation __________________
Total: _________________
______________________________________
Name(s)______________________________________
______________________________________
Address______________________________________
Phone______________________________________
Do you wish to volunteer? ________________
Serve on the Board? _______________
Please print out this form and make checks payable to:
Friends of the Middletown Public Library
700 West Main Road
Middletown, Rhode Island 02842
