Friends of the Derby Public Library

        Please provide the following information:

First Name	*
Last Name	*
Title
Organization
Phone
Address
E-mail

        Are you able to volunteer?  If so, when would you be available?

Do you have a specific talent, interest, or hobby that you feel would be of use to the library?  If so, what is it?

 

I would like to be a:

Student Friend - annual donation $2.50

Active Friend - annual donation $5.00

Supporting Friend - annual donation $7.00

Sponsor $15.00 annual donation

Benefactor $25.00 or more annual donation.

Corporation/Business Sponsor $50.00 or more

I do not wish to be a Friend of the Library, but would like to make a donation of