Friends Membership Form

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)


