Rensselaer Libraries

Friends of Folsom Membership Form

Posted: Jun 23, 2016

2016 Membership Year (Gifts received through December 2016)

YES, I want to be a…

  • __Friend ($50 - $99)
  • __Sponsor ($100 - $249)
  • __Patron ($250+)
  • __Enclosed is my contribution of $___________

Your gift is tax deductible.

Please make check payable to:
Friends of the Folsom Library

Please list your name(s) exactly as you wish it to appear in print.

Name(s) _________________________________
Address _________________________________
City _________________________________
State __________ Zip _____________
Class __________
Email address: _________________________


MAIL TO:

Friends of the Folsom Library
Rensselaer Polytechnic Institute
110 Eighth Street
Troy, NY 12180-3590

Thank you!

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