Membership Renewal Form, Wood Place Public Library

DATE:  _____________________

NAME: (PRINT) ____________________________________E-MAIL _________________

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:  __________

Signature of patron if over 15, and parent or guardian if under 15.

Changes in Membership:  (circle add/delete and print name/s)

_______________________________________________________________add/delete

_______________________________________________________________add/delete

_______________________________________________________________add/delete

Address Change:  (please print)

If interested please check the following:

_________  I would like to make a charitable donation of $ ______________

_________  I would like to volunteer at the library