Address ___________________________________________________________

City _____________________________ State __________ Zip Code __________

Telephone _______________________________________

Are you a new or renewing member? (Circle one)

Membership Levels (Check one):

_____ Individual - $15
_____ Family - $25
_____ Patron - $50
_____ Contributing - $100
_____ Supporting - $250
_____ Benefactor - $500
_____ Sponsor - $1,000

Payment:

_____ Check      _____ Visa      _____ MasterCard

Credit Card # _______________________________________________________

Exp. Date __________________________________________________________

Signature ___________________________________________________________

Please return the completed form to:

Friends of the New Orleans Public Library
219 Loyola Ave.
New Orleans, LA 70112-2044

Back to Friends' Main Page

7/18/2004