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Friends Membership Form

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You may leave the form and dues with staff at the Circulation desk or mail it to Friends of the Carbondale Public Library, 405 West Main Street, Carbondale, IL 62901-2995. Membership renewal forms are also available @ Circulation Desk




Name: ____________________________________________________________

Address: __________________________________________________________

Phone: ___________________________________ Email: ___________________

Payment $____________ I want to be actively involved. Call me! ______________

MEMBERSHIP DUES:

INDIVIDUAL   $5     FAMILY  $10     LIFE MEMBERSHIP (One time payment)     $150

New or Renewal? (Circle one)

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