Membership Form

       Friends of the Library Membership Form

             I want to be a Friend of the Lafayette Public Library!

Print and complete the following form and enclose along with your check payable to Friends of
the Lafayette Public Library. Mail to the following address:

Friends of the Lafayette Public Library
P.O. Box 3427
Lafayette LA, 70502

As a member, I would like to:
______     Work at the Friends Book Sale
______     Receive Notification of the Author Dinner

Name:      ______________________________________________________
Address: ______________________________________________________
City:          ________________________           Zip: _______________
Phone:     ____________________________
Email:      _________________________________________________

_____   New Member          _____    Renewal

Membership Status (please check one):
_____   Individual ($5.00)                  ______   Business ($50.00)
_____   Family ($10.00)                     ______    Patron ($50.00)
_____   Supporting ($15.00)              ______    Life ($100.00)

All memberships expire December 31st.