Friends of the
Parma Public Library
Membership Form

7 West Avenue   Hilton, New York 14468
Phone: (585) 392-8350   Fax: (585) 392-9870
Web Site: www.libraryweb.org/parma

Membership Form
Friends of the Parma Public Library
Membership Levels (annually):
  Individual           $5.00                                      Patron/Business      $25.00
  Dual/Family     $10.00                                      Life                        $200.00
Membership: Today's Date:_{--------------------}  Membership Expires: Nov. 1, 2011_.
I wish to make an additional contribution of $__________
My check, payable to Friends of the Parma Public Library
for $__________ is enclosed.
All contributions are tax-deductible.

New Membership______ Renewal_______ Gift Membership_______          

Name__________________________
Address________________________
Telephone______________________
E-mail_________________________
Interested in becoming involved in the library's current and future plans,
including expansion and fundraising for special projects?____________
Please print, fill out, and return to: Treasurer,
Friends of the Parma Public   Library
       7 West Avenue   Hilton, New York 14468