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| Print out this application
form, fill out, and follow the instructions below. Note: application forms are also available at the library. |
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| Name: | ________________________________________________________ | ||
| Address: | ________________________________________________________ | ||
| ________________________________________________________ | |||
| ________________________________________________________ | |||
| Telephone Number: | ________________________________________________________ | ||
| Email Address: | ________________________________________________________ | ||
| Membership Categories: | |||
| _____ $5 | Student | _____ $5 | Senior |
| _____ $10 | Individual | _____ $25 | Family |
| _____ $50 | Patron | _____ $100 | Organization |
| _____ $100 | Benefactor | _____ $150 | Lifetime: Individual* |
| _____ $___ | Contribution | _____ $250 | Lifetime: Family* |
*with a Lifetime membership, you will receive a book bag and $10 gift certificate to the Thank you for your support. |
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| The Friends of the Wilmington Library 175 Middlesex Avenue Wilmington, MA 01887 |
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| -------------------------------- Optional --------------------------------- | |||
| I/we would like to help with the following: | |||
| _____ | Book Store Next Door | _____ | Books to Homebound |
| _____ | Fundraising | _____ | Event Planning |
| _____ | Hospitality | _____ | Whatever is needed |
| _____ | Other: _____________________________________ | ||