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PLEASE PRINT THIS FORM!
Please return this portion with your dues.
Mail or return to:
Friends of the Library
255 Main St.
Southington, CT 06489
Name_____________________________
Address___________________________
_____________________________
Telephone#_________________________
Payment Enclosed____________________
Type of Membership:
Lifetime
$100
Patron
$25
Family
$10
Individual
$5 |