NAME______________________________

ADDRESS__________________________

___________________________________

PHONE_____________________________

EMAIL______________________________

OCCUPATION_______________________
       (Optional)

DATE______________________________

Please check category:

¾      NEW
¾      RENEWAL
¾      GIFT MEMBERSHIP
¾      Senior (65 & over)       $ 4.00
¾      Student                        4.00
      (Non-voting-age 18)
¾      Individual Adult              5.00
¾      Family Membership     10.00
¾      Sponsor                      25.00
¾      Benefactor                  50.00
¾      Corporate                  100.00
¾      Additional Donation    ______
¾      A SPECIAL FRIEND
¾      IN MEMORY OF
      (Please notify family)

Name______________________

Address____________________
___________________________

Would you like to help with a Committee?

Please circle your choice

Book Sale         Finance       Hospitality

Mailing              Telephone     Program

Publicity           Membership  

The Friends of the Libraries of Woodbridge
Township is a non-profit corporation.  Your
contribution is tax deductible.  Your
cancelled check is your receipt.

PLEASE MAKE CHECKS PAYABLE TO:
Friends of the Libraries of Woodbridge Township

 Woodbridge Public Library
1 George Frederick Plaza
Woodbridge, NJ 07095