____ New    ____Renewal    ____ Donation

____ Gift Membership to:

____ Mr.    ____ Mrs.    ____ Ms.    ____ Miss


Name __________________________________________

Address _______________________________________

City __________________________________________

State ________________       Zip ______________

Telephone/Home ________________________________  
          
          Office ______________________________

Email _________________________________________

Membership Categories

$10.00      Babies for Books
$10.00      Individual
$25.00      Family
$50.00      Supporting
$100.00     Patron
$500.00     Benefactor
$750.00     Lifetime
$1000.00    Corporate

Gift Membership From: ___________________________________________________


Please complete the appropriate application
information and return it with your check
made out to the Friends of the Library. 

Mail to:

FRIENDS OF THE LIBRARY
John F. Germany Library 
900 North Ashley Drive
Tampa, Florida  33602-3704