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SCHIAVO LIBRARY

MEMBERSHIP APPLICATION

Please print

 

Name /Names                                                                                                   

          

Street (local)                                                                                                        

 

City                                                                   State              Zip                        

 

Phone (                 )                                                                                             

 

Street (Home, if different)                                                                                            

 

City                                                                   State              Zip                        

 

Phone (                 )                                                                                             

 

Email                                                                                                                    

 

 

Please issue an: 

Annual Membership: $  25      Individual      $    45       Family

Weekly Visitor Membership: $  15      Individual       $    20      Family

SCHIAVO LIBRARY SUPPORTER         $ 250        
            Includes Family Membership &
            1 Limited Edition Schiavo Library Mug

SCHIAVO LIBRARY PATRON               $  500       
            Includes Family Membership
            1 Limited Edition Schiavo Library Mug &
            2 Invitations to the Annual Member’s Reception

Make check payable to Schiavo Library and return to:
801 S. Commonwealth Avenue, Strathmere, NJ 08248
           
I agree to comply with all rules & policies of the Schiavo Library:

 

Signature ________________________________________
Date _________

 

 

 

 

      


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Copyright 2009 Schiavo Library
Last modified: 05/20/09