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Friends of the Pike County Public Library

Annual Membership Form

The following are guidelines. Please feel free to contribute whatever is appropriate for you.

Blue Check box for a Contribution Sponsor to the Pike County Public Library  Corporate Sponsor $______

Blue Check box for a Contribution Sponsor to the Pike County Public Library  Sponsor (over $15) $______

Blue Check box for a Contribution Sponsor to the Pike County Public Library  Patron $15

Blue Check box for a Contribution Sponsor to the Pike County Public Library  Family $10

Blue Check box for a Contribution Sponsor to the Pike County Public Library  Individual $5

Blue Check box for a Contribution Sponsor to the Pike County Public Library  Junior (under 18) $2

Blue Check box for a Contribution Sponsor to the Pike County Public Library  Other $____________

 

*Required fields to be filled out below.

Name 

*

Mailing Address 

*

Address 

*
If mailing address is a P.O. Box number, include your street address.

City 

*
State 
 *

Zip 

*

E-mail 

Phone 

*

Fill out this form, make your check out to: Friends of PCPL

Mail to:
Friends of Pike County Public Library
PO Box 80
Milford PA 18337-0080

Dues are from January 1 through December 31. Your contribution is tax deductible.

Return to the Friends of PCPL overview page.

 

Please check appropriate boxes:

Blue Check box for a New Member to the Pike County Public Library  New Member

Blue Check box for a New Address for the Pike County Public Library  New Address

Blue Check box for a New Telephone for the Pike County Public Library  New Telephone

 

Yes, I'd like to volunteer at:

Blue Check box to be a Volunteer for the Book Sale at the Pike County Public Library  Book Sale

Blue Check box to be a Volunteer for the Baking Sale at the the Pike County Public Library  Baking

Blue Check box to be a Volunteer for the Mailing at the Pike County Public Library  Mailing

Blue Check box to be a Volunteer for the Flyer Distrubution at the the Pike County Public Library  Flyer Distribution

Blue Check box to be a Volunteer for the Other tasks at the the Pike County Public Library  Other:_________________

Become a Friend of the
Pike County Public Library.

© Pike County Public Library, System Headquarters • 201 Broad Street • Milford, PA 18337 • tel: 570-296-8211 • admin@pcpl.org

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