THE FRIENDS OF THE JEFFERSON HILLS LIBRARY

2011 MEMBERSHIP FORM

925 Old Clairton Road

Jefferson Hills, PA 15025

Yes, I will support The Friends of the Library

by becoming a member, as indicated below.

DUES

__ Individual - $10.00

__ Student - $5.00

__ Sr. Citizen - $5.00

__ Family - $15.00

__ Associate - $25.00

__ Sustaining - $50.00

__ Patron - $100.00

__ Life - $500.00

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