Friends of Bethlehem Public Library

Annual Member Appeal

June 1, 2011 - May 31, 2012
____ new member        ____ renewing member
  name ____________________________________________________________________
  address __________________________________________________________________
  phone (optional) ____________________   e-mail (optional) ________________________
 

tax-deductible contribution enclosed (check one):
   
___ basic

___ household

___ supporter

___ donor

___ patron

___ business

___ benefactor

___ other

 $20

$25

$30

$50

$100

$100

$250

$________
 
___ I am interested in contributing baked goods for a Friends bake sale or volunteering at a program.
       Please contact me.

Mail this form with your check to:
Friends of Bethlehem Public Library • 451 Delaware Avenue • Delmar • NY 12054

Friends of Bethlehem Public Library is a nonprofit organization.
Thank you for your generous support!