Friends Membership Form
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Name:__________________________________

Address:________________________________

_______________________________________

Phone:__________________________________

E-Mail:__________________________________

Type of membsrship:_______________________

Amount remitted:__________________________

Please make check payable to:
Friends of the Ransomville Free Library

Your membership is tax deductible
______________________________________________________

Please check if you are interested in helping with any of the following:

____  Programs/Activities
____  Book Sale
____  Community Awareness
____  Newsletter
____  Membership
____  Other ___________________________________
                     ___________________________________
                    ___________________________________

______________________________________________________
Please mail or bring to:
Ransomville Free Library
3733 Ransomville Road
Ransomville, NY 14131
For Office Use Only

Date received: _____________

Card Mailed: ______________

A membership card will be issued to you.