"Libraries are not made; they grow"MEMBERSHIP APPLICATIONName:___________________________Email:_________________@_____________ Address:_____________________________________________________________ City:__________________ST____Zip:_________Telephone#:(_____)____________ Please place a check (a) in the appropriate box to indicate new or renewal of membership. Membership: T Renewal: T Designate your choice of membership by placing a check (a) near your selection. Student $1.00 /yr. | | Individual $5 /yr. | | Sponsor $10 /yr. | | Patron $30 /yr. | | Corporate $100 /yr. | | Life- One time donation of $100 or more | |
Mail or bring this form and a check made out to: Friends of the M/S Library Mims/Scottsmoor Public Library 3615 Lionel Road Mims, FL 32754 http://www.friendsofthemims-scottsmoorlibrary.org | 
