Friends of the Barre Library Association Mail-In Membership Form

Yes! I want to join as a member of the Friends. I understand that I must print this page, fill in the appropriate information, and follow the mail-in instructions below. I am also aware of the BLA's 501(c)(3) affiliation and will use my membership contribution gift as a tax deduction!

Annual Membership Contribution Levels:

$10 Student Membership ______________

$25 Individual Membership _____________

$35 Family Membership ________________

$100 Charter Membership ______________

Member Information:

First Name __________________________________________ Middle Initial _________

Last Name ________________________________________________________________

Address ___________________________________________________________________

City ________________________________________________________ State _________

Phone _____________________________________________________________________

Email _______________________________________________________________________

Please make check payable to the Barre Library Association.

Mail completed form and check to:
Barre Library Association -- Friends of the Library Membership
PO Box 731
Barre, MA 01005