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Friends of the Library Annual Membership Application

Name:_______________________________________________

Address:____________________________________________

City:_______________________ State:_______ Zip:_______

Phone:______________________ Date: _________________

Amount paid:________________

Benefactor $100
Patron $50
Family $25
Individual $10
Senior Citizen $5
Student $5

Please make all checks payable to: Friends of the Library, Inc.
Your membership is tax deductible to the extent permitted by law.

Please print, fill out and mail this form and payment to
Friends of the Library
Lakeland Public Library
Post Office Box 2502
Lakeland, FL 33806-2502

A copy of the official registration and financial information may be obtained from the division of consumer services by calling toll-free within the state at 1-800-435-7352. Registration does not imply endorsement, approval, or recommendation by the state.