Membership Form
Friends of the Library -- Blair, Nebraska
  I wish to become a member of the Friends of the Library.
         
         
Name                                                                               Phone                                                     
         
Address       E-mail    
         
City State Zip    
         
         
  ______  $5.00 Annual Membership Dues   ______ $10.00  Annual Supporter
 

(running from January 1 through Dec 31)           

 

 

                 Membership Donation
  Membership checks should be made payable to:  Friends of the Library
         
  Please return this completed form and your membership dues to:
     
Pam Petersen
VP -Membership Coordinator
553 N 21 Street
Blair,  NE   68008

OR

 Blair Public Library
210 S. 17th Street
Blair, Nebraska   68008