Membership Application - Columbia

Print and save this membership application and bring it with you to the next meeting, or send it to the Library. Thanks for being a friend!

Please make checks payable to: Friends of Columbia Library, 13824 W. River Rd. N, Columbia Station, OH 44028

Name _______________________________________________
Address _____________________________________________
City/State/Zip ________________________________________
Phone (Home)________________________________________
Phone (Work) ________________________________________

Annual Membership Fee:
___ Student - $2.00 (School: ____________________________ )
___ Individual/Family - $5.00
___ Donor - $10.00
___ Patron - $25.00
___ Corporate/Organization - $50.00
___ Life - $100.00