PLEASE PRINT THE FORM BELOW AND SEND IT TO:

FRIENDS OF THE LIBRARY
C/O NEWTON COUNTY LIBRARY
HC 31 BOX 8
JASPER, AR  72641
​
DON'T FORGET TO INCLUDE THE APPROPRIATE MEMBERSHIP FEE.

FRIENDS OF THE LIBRARY MEMBERSHIP APPLICATION

NAME: ___________________________________________________________________________

ADDRESS:  _________________________________________________________________________

                    __________________________________________________________________________

CITY, STATE & ZIP:  ____________________________________________________________________

PHONE NUMBER:  _____________________________________________________________________

EMAIL ADDRESS: ______________________________________________________________________

PREFERRED CONTACT METHOD? PLACE AN X ON THE LINE IN FRONT OF THE METHOD YOU WOULD PREFER WE USE TO CONTACT YOU.
______ EMAIL
______ PHONE
______ MAIL

PLEASE INDICATE MEMBERSHIP LEVEL:

Individual Annual Membership - $10.00   ______________
Family Annual Membership  - $15.00  ________________
Lifetime Membership  - $100.00  ___________________