Membership Form

Print out and bring in.

Friends of the Atlanta Public Library

101 W. Hiram, Atlanta, TX 75551

Name: ____________________________________________________________________________

Street Address _____________________________________________________________________

City ___________________________________      State ____________  Zip _____________________

Phone _______________________________ Email ________________________________________

                                                                                                             

   Individual -- $5.00                Family -- $10.00                Business/Organization -- $25.00

Total amount Paid $________