Friends of the Elm Grove Library
Membership Form
(June 1, 2010 - May 31, 2011)

Yes, I would like to join the Friends of the Elm Grove Library!
(Please print.)

Date:
____________________________________
Name:
____________________________________
Address:
____________________________________
Phone number:
____________________________________
E-mail:
____________________________________
City:
____________________________________
State:
_______ Zip Code: ________
Check box to receive newsletters by email. (Information will not be shared.)
___ New Member ___ Renewal

Membership Level ( Check One)

______Individual ($15.00) ______Family ($25.00) _____ Business ($50.00)
______Patron ($75.00) ______ Lifetime - Individual ($1,000.00)

I am interested in helping the Friends in the following areas:
_____ Adult Programs
_____ Bookie Cookie (Memorial Day)
_____ Children's Events
_____ Exhibits/Displays
_____ Hospitality
_____ Library Volunteer
_____ Lights of Love
_____ Mailings
_____ Publicity
_____ Used Book Sale
_____ Computer/Web Page
_____ As Needed

Special Skills: _____Computer _____Graphic Design _____Web Site
Other __________________________________________________

   
Check below if you belong to or would like to join a Friends' book discussion group.
_____Morning _____Afternoon _____Evening _____Summer Only
Are you a returning member of a Friends' book group? ____ Yes ____ No
Name of Book Group ______________________________________
 

Please mail this form with your enclosed check payable to:
Friends of the Elm Grove Library, Inc. to:

Friends of the Elm Grove Library. Inc.
13600 Juneau Boulevard
Elm Grove, Wisconsin 53122
Attention: Membership Chairman