Friends of the Lynn Public Library

Membership Form

Date_________
New________    Renewal________
Name:__________________________________________
Street:__________________________________________
City:_______________________________
State:______________    Zip:___________
Phone:_____________________________

Membership category:

[ ] Individual $5.00
[ ] Family $10.00
[ ] Sponsor $20.00
[ ] Patron $50.00 to $90.00
[ ] Sustaining $100.00 plus

Please make check payable to: Friends of Lynn Public Library (It's tax deductible!)

Please contact me to participate:

[ ] Programming
[ ] Newsletter
[ ] Membership
[ ] Hospitality
[ ] Fundraising
[ ] Auction

Print this form, then bring it in to the library or mail it with your check to:

Friends Membership
Lynn Public Library
5 North Common St.
Lynn, MA 01902