Application

PDF version of application

 

New Membership ______ Renewal Date ____________

(Make checks payable to Friends of the Library Center and mail to Marcia Manthey, Library Center, 105 E. Magnolia Ave., City Island, Daytona Beach, FL 32114)

Name ___________________________________ Address _________________________________

City, State ____________________________ Zip __________ Phone ____________

_____ Individual ($10) _____ Family ($15) _____ Contributing ($25) ____ Sponsor ($50)

_____ Corporations ($100) _____ Patron ($500 up)*

* Recognition on Library Plaque