2. First Name
3. Last Name
5. Address1
7. Address2
9. City
10. State
11. Zip
13. Telephone
14. Email Address
16. Would you like to receive email notifications of Friends' and Library events?
    -- Select One --YesNo
17. Are you willing to help with Friends' projects?
    -- Select One --YesNo
19. May we share your contact information with other Friends' members?
    -- Select One --YesNo

    You must check yes if you wish to assist with projects
20. Membership Type
    -- Select One --$3 Student/Senior Citizen$5 Individual Adult$10 Family$25 Business/Organization$100 Lifetime MemberOther Contribution

    Membership period runs from September 1 - August 31 the following year.
22. Amount Enclosed:
24. Please complete this form, attach payment, and return to Library staff or mail to:
    Georgetown Township Public Library
    1525 Baldwin Street
    Jenison, MI 49428
Leave This Blank:


25. Print Only

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