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

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 att: Tabitha.
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