Name ________________________________________________________________________________________________________________
Address ______________________________________________________________________________________________________________
City ____________________________________________________________ State ______________________________ Zip ______________
Phone (Home) _________________________________________________ (Cell) __________________________________________________
Email __________________________________________________________________________________________________________________
Enclosed is my check (payable to the Carthage Free Library) for annual, tax deductible membership in the amount :
- ______ Senior or Student
- $10.00 or 6 hrs VILOP*
- ______ Individual
- $15.00 or 9 hrs VILOP*
- ______ Family
- $25.00 or 15 hrs VILOP*
- ______ Patron
- $50.00
- ______ Business Level I
- $100.00
- ______ Business Level II
- $200.00
- ______ Lifetime
- $500.00
*VILOP (Volunteer in Lieu of Payment) must log hours of volunteer service at Friend’s events.
Please fill out and return to the Carthage Free Library