| _____ Individual | $5.00 + | _____ Donation | $_____________ |
| _____ Couple/Family | $10.00 + | _____ Organization/Business | $25.00 + |
Name:________________________________
Address:______________________________
______________________________________
Make checks payable to: The Friends of the Library
Mail to: The Friends of the Library / 90 Broad Street / Bloomfield, NJ 07003