Join---Help---Learn---Enjoy

Annual Membership Contribution

[] Student/Senior $10

[] Individual $20

[] Family $35

[] Patron $70

[] Corporate Membership $100

[] Life Membership $250

[] Silver Life Membership $500

[] Gold Life Membership $1000

[] Sustaining Donation __________

Please make checks payable to:

Friends of the Roseville Public Library

P.O. Box 232

Roseville, CA 95678

Name ________________________________

Address ________________________________

City _____________________________________

State_______ Zip ____________

Email ________________________________

Phone Number ___________________

I am interested in helping the Friends by working on:

[] Membership

[] Book Sales

[] Newsletter

[] Library Volunteer

[] Programs

[] Publicity

[] Fund Raising

Contributions may be tax deductible.

Many employers will match your contribution.

Federal Tax ID# 23-7217955 CA Charity #34974

www.rosevillefriendsofthelibrary.org