Friends Membership Form
(Please print this page.)


Date*: _______________________________

Name*: ______________________________

Address*: ____________________________

____________________________________

Phone Number*: (_____)_________________

Email: _______________________________


Please choose the type of membership you want.
All checks should be made payable to "Grasselli Library."

 Full Membership:                  $25
   Valid for one year

 Contributing:                         $50
   Valid for one year

 Patron:                                  $100
   Valid for one year

 Sustaining:                           $250
   Valid for two years

 Life:                                       $500
   Valid for life of member


*Required information

All memberships are valid from June 1 - May 31.
A prorated schedule for full memberships is available
at the Circulation Desk.