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Friends of the Library Membership Form

2. Membership in the "Friends" runs from July 1st through June 30th*

   1. I would like to join the Friends
   2. I am renewing my yearly membership
4. Membership Categories*

   1. Individual - $5 per year
   2. Family - $15 per year (parents and children under 18 in the same household)
   3. Benefactor - $100 for a lifetime membership
6. To pay your membership dues, please use a check made out to the Friends of the Powhatan Library. You may drop the check off the next time you visit the library or mail it to:
7. Powhatan County Public Library
   ATTN: Friends of the Library
   2270 Mann Rd.
   Powhatan, VA 23139
9. Name*
11. Family member names (for Family membership only)
13. Address*
15. City*
16. State*
17. Zip Code*
19. Phone*
20. Email
22. Phone numbers and emails are used only to contact you or update you about Friends, Library and local activities. This information will not be published or sold.
24. We email information (typically 1 to 3 emails per month) to our members about the Library and community.

    1. Please check here if you ONLY want to receive a quarterly update and select notices.
26. I would like to:

    1. Assist at special events
    2. Hold office

    1. Help at the library
    2. Assist with programs
Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

* indicates a required field