2015 Friends Membership Renewal - Mississippi Library Commission

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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 (lellinwood@mlc.lib.ms.us)
$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 (lellinwood@mlc.lib.ms.us) or Lorietha Myers, 601-4324067 (lmyers@mlc.lib.ms.us) or 1-800-MISSLIB
FRIENDS: SUPPORTING OUR MISSISSIPPI LIBRARIES
THAT’S WHAT FRIENDS ARE FOR!
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