Date: ____________________________
New member: _____ Renewal: _______________
Name: __________________________________________________________________________
Address: ________________________________________________________________________
City, State, Zip: ___________________________________________________________________
Phone: ____________________________________________
Email: _____________________________________________
| Annual Membership Dues | Amount |
| K-12 Student | $2.00 |
| Senior Citizen (62+) | $2.00 |
| Individual | $5.00 |
| Family | $10.00 |
| Business | $25.00 |
| Lifetime Friend | $100.00 |
MEMBERSHIP DUES ARE TAX DEDUCTIBLE
As a member of the Friends, you have an opportunity to serve in many ways. Please check all that are of interest to you.
___ Board Position
___ Committee Position
___ Fundraising
___ Bake for Special Events
___ Working on Mailings/Phone
___ Volunteer Work in Library
Please make checks payable to Friends of the Kraemer Library & Community Center, Inc. Return dues with with form to:
Friends of the Kraemer Library &
Community Center
910 Main St.
P.O. Box 282
Plain, WI 53577