FRIENDS OF THE CHATHAM COMMUNITY LIBRARY

One Year New Membership & Renewal Form

PLEASE PRINT ALL

Last Name_____________________First Name(s)__________________________

Address ____________________________________________________________

City _______________________________State________Zip Code_____________

Phone_________________E-mail________________________________________

(Notification of Friends, library related and college cultural events only)

Please check one:

□ Student ($5)                        □ Donor ($25)              □ Sponsor ($100)                                              

□ Household ($10)                □ Patron ($50)              □ Benefactor ($250 or more)

□ Employer matching gift (include appropriate forms)  □ Other Amount $________

Membership dues help support: special library events, programs, staff training,

book purchases for the collection, facility enhancements & student scholarships.

Make checks payable to Friends of the Chatham Community Library

and mail to:   P.O. Box 1108, Pittsboro, NC  27312

Not sure of your renewal date?  Date is shown above your name on our mailing labels to you.

We are an all-volunteer organization. Please check where you are willing to help.

□  Adult Programs                 □  Community Read              □  Refreshments 

□  Book Sales                         □  Membership                       □  Other______________            

Want to volunteer at the Library?   Please ask at the Main Circulation Desk.

Want to volunteer with Children's Programs?  Please ask at the Children's Desk

THANK YOU FOR YOUR SUPPORT!

Friends of the Chatham Community Library, Inc. is a 501(c)(3) non-profit organization.