of the Clovis-Carver Public Library

Membership Application
(print out and complete)

Date: __________________

I want to (circle one):

Join        Renew

Method of payment:

___ Check         ___ Cash

Type of membership (select one):

___ Adult   ___ Family   ___ Patron   ___ Org./Business

Title (Mr./Mrs./Miss): ____________________________

Full name: _____________________________________

Address: _____________________________________

City: __________________  State: _________________

Zip: _______________ Telephone: _________________

E-mail address: _________________________________

Yearly Membership Rates

Adults, 18 years and older......$5.00
Family membership...............$10.00
Organization & Businesses....$25.00
Patron.....................$100.00 and up

Please make check payable to:

Friends of the Clovis-Carver Public Library
7th and Main Street
Clovis, New Mexico 88101

or

Leave at the Clovis-Carver Public Library

 Thank-you!

All Friends memberships and contributions are completely tax deductible.