Membership Application

Friends of Brooks Free Library

Annual Dues (Each Person)

(Fiscal Year: June 1-May 31)

Life Membership: $150.00* BookPlate Member: $50.00+

Supporting Membership: $25.00 Sustaining Membership: $15.00

Active Single Membership: $5.00 Active Family Membership: $10.00

Name(s): _____________________________________________________________________________

Address: _____________________________________________________________________________

______________________________________________________________________________________

Home Phone: _________________________________ Cell Phone: ____________________________

Email Address: _______________________________________________________________________

Enclosed is my check for : $________________

( ) Matching Gift form from my employer is enclosed.

( ) Please call me. I am interested in volunteering.

*A Friends of Brooks Free Library Tote Bag is included in this membership

+I would like my personalized bookplate placed in:

( ) a new Children’s book chosen by the Library.

( ) _____________________________________________which is owned by the Library.

Please mail this to:

The Friends of Brooks Free Library

P. O. Box 1456

Harwich, MA 02645

or drop it in our box at the Library!

Thank You!