Friends of CRLD 2024 Membership Registration

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Must live within the boundaries of the Centralia Regional Library District or otherwise meet the requirements for a resident library card.

Today's date. *

YYYY

Name *

Address *

City, State, Zip Code *

Telephone Number (include area code) *

Email Address *

Select Membership Level. *

Student - $5

Individual - $10

Family - $25

Organization - $75

Business - $100

Corporation - $250

Sustaining Member - $500

Indicate Payment Method.

(Membership will not be complete until payment is received.)

Bring Payment into the Library's Circulation Department (cash, check, or credit card)

Mail Payment to Friends of Library, 515 E Broadway, Centralia IL 62801 (checks only)

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