Friends of the Free Library
of Northampton Township

Membership Application:

Name:   Ms.   Mrs. Mr.   Dr.           

Last/First:____________________________    Date:______________

Street:_______________________________    Apt:_______________

City:_____________________________   State:____________

Zip Code:____________    Phone:___________________

E Mail:______________________

I would like more information about helping with Friends       activities.

Annual Membership Dues (calendar year basis):

$10 Individual                              $20 Family

$5 Senior (60+)                           $50 Business

$5 Student (25 and under)            $50 Sponsor

$35 Organizational                        $100 Patron

$35 Contributing

Please send applications and check to:
                  Friends of the Free Library of Northampton Township
                  25 Upper Holland Rd.
                  Richboro, PA 18954

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