- - - - Print and complete this form and mail it to the address below. - - - -
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