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The Friends of the Goshen Public Library & Historical Society MEMBERSHIP FORM

Yes, I want to become a Friend of the GPLHS.
Types of annual membership available: [ ] Individual $5 [ ] Family $10 [ ] Sponsor $25 [ ] Patron $50 [ ] Benefactor $75 My check for $______ for membership is enclosed. (Make checks payable to Friends of the GPLHS) Please check one: [ ] I would be willing to work actively on Friends projects. [ ] I would be willing to help with book sales. [ ] At this time I can only offer my financial support. Your information. (E-mail/home page are optional fields.) Name _______________________________________________________________ Address ____________________________________________________________ City _______________________________ State _______ Zip ___________ Phone ( ) ____________________ FAX ( ) _____________________ E-mail address: ___________________________________________________ Home page: http:// ________________________________________________ MAIL FORM TO: FRIENDS OF THE GPLHS 203 Main Street Goshen, NY 10924
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