Friends of the Library

Join us to be a Friend
To join the Friends of the Polk County Public Library, print the following form. Send the completed form with your check to: Friends of the Polk County Public Library P.O. Box 274 Columbus, NC 28722
*Date:	_______________
*Name:	__________________________________
Spouse:	__________________________________
*Street Address:	__________________________________
2nd Line Address:	__________________________________
*City:	__________________________________
*State:	____
*Zip:	______________
Email Address:	__________________________________
*Daytime Phone:	_____________________
*Evening Phone:	_____________________
Type of Membership:	_____ Regular $7.00 _____ Family $10.00 _____ Organization $20.00 _____ Lifetime $100.00 _____ Donation
Donation:	$_____________
Membership:	_____ New _____ Renewal
Annual Membership expires 12/31. All contributions are tax deductible. Please make checks payable to: Friends of the Polk County Public Library