FriendsHCPL-4Cweb
 
 
Friends
of the
Henrico County Public Library

Friends Membership Form

This is a:*
Please choose either a new membership or renewal!

The Friends membership year is from July 1 - June 30.

First Name*
First name is required!

M.I.
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Last Name*
Last name is required!

Address*
Address is required!

City*
City is required

State*
State is required!

Zip*
Zip Code is required!

Phone Number*
Phone number is required!

Email Address
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Your email address is confidential. It will only be used to inform you of special library events.

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If you are joining on behalf of someone else, please enter your name (used to reconcile PayPal payments)
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Please choose the branch you wish to support
Please choose the library branch you wish to support!

Please check one. (Your contribution is tax deductible)*

Please choose your membership level!

If Other, fill in the Amount (minimum donation is $10.00 USD)
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Please enter any questions or comments you may have about your membership.
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Total Donation
$0.00