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Friends of the Decatur Public Library Membership/Renewal Form

2. First Name*

3. Last Name*

5. Address1*

7. Address2

9. City*

10. State*

11. Zip*

13. Telephone

14. E-mail

16. Type of Membership
    -- Select One --Student $1.00/yrIndividual $10.00/yrBusiness $50.00/yrPatron $35.00/yrLifetime Member $100.00

18. If making an online donation, please click on the Donations link. If paying by check, please make checks payable to the Decatur Library Foundation.

    If making an online donation, please click on the Donations link. If paying by check, please make checks payable to the Decatur Library Foundation.

19. Donations
    Donations

Leave This Blank:


21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit

* indicates a required field