RENEW YOUR FRIENDS MEMBERSHIP for 2015 Friends of Mississippi Libraries, Inc. can help your local chapter with fund-raising, membership, special projects, programs, organizing a new chapter, public relations, as well as establishing/maintaining a 501 (c) (3) tax exempt status with the Internal Revenue Service. CHAPTERS: (check appropriate) For Individual membership please contact Lacy Ellinwood ([email protected]) $10.00 $25.00 (50 members or more) New Renewal Name (on your bylaws): ___________ Street Address (or P. O. Box #): _____ City, State, Zip Code: Phone: ( ) e-Mail required: An Additional contact person is sometimes helpful. Name: Phone: (______) ___________________ e-Mail required: ________________________________________ Activity Report: How many active members do you have? : _____________________ We’ve raised this amount of money in 2014 (please check one) o o o $1-$100 $101-$500 $501-$1,000 o o o $1,000-$5,000 $5,001-$10,000 $10,000+ Return this form with your check made payable to: Friends of Mississippi Libraries, Inc. 3881 Eastwood Dr. Jackson, MS 39211 Questions?: Contact Lacy Ellinwood, 601-432-4154 ([email protected]) or Lorietha Myers, 601-4324067 ([email protected]) or 1-800-MISSLIB FRIENDS: SUPPORTING OUR MISSISSIPPI LIBRARIES THAT’S WHAT FRIENDS ARE FOR!