Wood Place Public Library
501 South Oak; California, MO 65018
Phone: 573-796-2642; Website: http://www.woodplacelibrary.org
I wish to make application for a library card/membership for the Wood Place Public Library
DATE: _____________________
NAME: (PRINT) ____________________________________E-MAIL _________________
ADDRESS: __________________________________________ PHONE: _____________
CITY: ______________________________ STATE: _________________ ZIP: __________
PARENT/GUARDIAN NAME: (PRINT) __________________________________________
(Necessary for individual card of patrons 15 and younger)
If applying for a FAMILY MEMBERSHIP list members of household below:
___________________________________________________________________________
___________________________________________________________________________
Family membership is defined as those family members living in the same household. Individual membership is for one patron only and may not be used by other members of the family or by friends.
Please check one of the following library card/membership options:
Individual Library Card (California City Residents) no charge _____
Family Library Card (California City Residents) no charge _____
Individual Library Card (outside city limits) $5.00 _____
Family Library Card (outside city limits) $15.00 _____
A FRIEND MEMBERSHIP includes voting rights, as set out in the Friends of Wood Place Public Library Bylaws, invitations to special function/events, a quarterly newsletter and an incentive gift. It is a great way to offer additional support to our facility.
INDIVIDUAL FRIEND MEMBERSHIP $15.00 ______
FAMILY FRIEND MEMBERSHIP $25.00 ______
SPONSOR FRIEND MEMBERSHIP $100.00 ______
BENEFACTOR FRIEND MEMBERSHIP $500.00 ______
LIFETIME FRIEND MEMBERSHIP $1,000.00 ______
TOTAL PAID: __________
(All cards/membership are yearly fees except for the lifetime option)