Troy Public Library · 100 Second Street · Troy · New York · 12180 · (518) 274-7071

Friends of TPL

Membership Application Form

Be a Friend of the Troy Public Library

Since 1972, the Friends of TPL have been making a difference ... Won't you join us?

Name: __________________________________________________

Address: ________________________________________________

City, State, Zip: ___________________________________________

Phone (Day/Evening): ______________________________________

E-Mail address: ___________________________________________

Membership Levels

____  $10   Senior/Student

____  $25   Individual

____  $35   Family

____  $50   Supporting

____ $100  Best Friend

Membership Status

____  New Member

____  Renewal

Send this completed form with a check made payable to Friends of TPL to:

Friends of TPL
100 Second Street
Troy, NY 12180

Thank you for your support!