Form

Friends of the Valley Center Library

Join or Renew your Membership
Name

First Name Last Name
E-mail

Confirmation Email

Address: *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number:

- Area Code Phone Number
Membership Level *

Individual $ 15.00

Family $ 25.00

Book Lover $ 50.00

Book Collector $ 100.00

Literati $ 250.00

Business $ 100.00
Should be Empty: