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Please print out and mail or bring in to the library

To: The FRIENDS of
Lane Memorial Library
c/o The Lane Memorial Library
2 Academy Ave.
Hampton, NH 03842
(603) 926-3368

I am enclosing $_______ to cover the membership
I have checked below.

Please make checks payable to
The Friends of Lane Memorial Library

____ Individual, per year ..... $10
____ Family, ....................... $15
____ Patron, ....................... $50
____ Benefactor ............... $100

Name
Address
City, State, Zip
Email
Phone

I would be interested in helping with: (please circle all that apply)