Library Friends of Conroe
 Membership Form

 104-I-45 North Conroe, TX 77301

To join the friends of the library, please fill out this form, print it ouT, and mail it along with a check payable to "Library Friends of Conroe":

Last Name:
First Name:

     Address:
    Address :
             City:

           State:
     Zip Code:

e-mail address:

     Day Phone:
  Home Phone:

Annual dues- renewable each membership...

Choose one of the following options:

Life Member $100.00
Patron Member $50.00
Contributing Member $25.00
Adult Membership $5.00
Family Membership $15.00
Senior $4.00
Junior/Student $4.00

Montgomery County Library System
104 I-45 North
Conroe, TX 77301
(936) 539-7814

Last update: 02/18/2004