Yes...I'd like to be a FRIEND OF THE LIBRARY

NAME (last, first):  
ADDRESS:  
PHONE:  
STATUS (check one): ACTIVE INACTIVE
Individual ($3) Family ($5) Organization ($10)

CONTRIBUTIONS ARE TAX DEDUCTIBLE

Please make checks payable to
FRIENDS OF THE SEAFORD PUBLIC LIBRARY
Mailing Address: 2234 Jackson Ave, Seaford, NY 11783


Instructions: Please print out this form, fill out all fields and return to the address above