Friends of the Pueblo City-County Library District
Membership Application

For further information, please email: Tabitha Davis, call or write:

Friends of the Pueblo City-County Library District
622 S. Union, Pueblo, CO 81004 (719) 543-4688

First name

Last name

Home Address

City

State

Phone Number (home)

Phone Number (work)

Organization Name

E-Mail Address

Please send the Friends Newsletter via email.

Date: -- mm/dd/yy

Select any of the following options that apply:

I pledge:

$500 Patron  $100 Benefactor  $30 Gold Card

$30 Business  $20 Family  $15 Individual $10 Auxiliary

New Member Renewal Member
  
I would Like to help

With the Book Store On other programs


After completion please print and mail in your form to the address above.
Thank you for your generous gift!

First name
Last name
Home Address
City
State
Phone Number (home)
Phone Number (work)
Organization Name
E-Mail Address
	Please send the Friends Newsletter via email.

Friends of the Pueblo City-County Library District Membership Application

Friends of the Pueblo City-County Library District
Membership Application