Friends of the Kinderhook Memorial Library Membership Application

Name:

Address:

Phone:

Email:

Type of membership:

___Individual/Family ($25/year)

___Senior/Student ($10/year)

___Business ($50/year)

___Volunteer (priceless)

Please print and send the completed form with your tax deductible check to:

Friends of the Kinderhook Memorial Library
PO Box 54
Kinderhook, NY 12106