Friends of the Longview Public Library

Membership Application

NAME ______________________________________ PHONE______________

STREET ADDRESS ________________________________________________________________

CITY ____________________________ STATE ________________ ZIP CODE _______________

CHECK THE APPROPRIATE CATEGORY:

___INDIVIDUAL    $5.00 – 14.00               ___FAMILY/ORGANIZATION   $15.00 – 24.00

___PATRON   $25.00 - 49.00                       ___SPONSOR    $50.00 – 99.00

___BENEFACTOR   $100.00 – 249.00       ___LIFE MEMBER   $250.00 AND UP

SEND APPLICATION AND CHECK TO:

Friends of the Longview Public Library
222 W. Cotton St.
Longview, TX  75606

___I would be interested in working at the Twice Sold Tales Bookstore
___I would be interested in serving on the Board of the Friends of the Library