Friends of the Stillwater Public Library

Print and complete this application

Return it with your dues payment to the
Circulation Desk at Stillwater Public Library
or mail to
1107 S. Duck

Stillwater, OK 74074

____________________		____________________			________	_______________
Last Name		First Name			Initial	Date
_____________________________________________________
Street Address (____ check here if new address)
______________	______________			______________
City	State			Zip
_____________________			_____________________
Home Telephone			Other Phone (if applicable)
____________________________________________________
E-mail (please print clearly)
____________________________________________________
Other e-mail (if applicable)

Type of Membership		We need volunteers for the Annual Book Sale in September. Could you help with:
Individual	$10.00	_____	Setting up?
Lifetime	$100.00	_____	Counting purchases?
Donation*	$______	_____	Helping in sale room?
		_____	Other?
TOTAL	$______	_____	Can't help this year.

*The Friends is a 501(C)3 organization, so your contribution is tax deductible!

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