Friends of RML Membership Form

Please complete the following information.

Name: x

Address:

Phone: x

Email:

Please choose a level of membership.

check one	x	x
x	$5.00	Senior
x	$10.00	Individual
x	$15.00	Family
x	$25.00	Supporting
x	______ (fill in amount over $25.)	Generous

May we call you to volunteer to help at special events?

_____Yes          _____No
 
 

Your check should be made payable to:
"Friends of Richards Memorial Library"

Membership applications may be dropped off at the library or mailed to:
Richards Memorial Library
44 Richards Ave.
Paxton, MA 01612

If at all possible, please obtain a matching gift from your employer.
Thank you for your support.