ANNUAL MEMBERSHIP FORM

As a Member of the Friends of the Pleasant Hill Library, you will receive newsletters giving advance notice of library events. Another benefit of your membership is priority admission to the large, quarterly book sales 1/2 hour before they open to the general public.

Name_______________________________________________    Date_________________

Other names (for household memberships)__________________________________________

Street Address_______________________________________________________________

City/State/Zip code___________________________________________________________

 

 

Work Phone________________________________________________________________

Home Phone________________________________________________________________

Email_____________________________________________________________________

Choose one of the following dues options:

( ) Personal ($5 / year)
( ) Household ($10 / year)
( ) Seniors ($3 / year)

Are you able to help with ... ?

( ) Pickups
( ) Sales

( ) Phone

( ) Sorting

Please send this form along with your check or money order for your dues to: