Membership Enrollment (Printable Form) To become a member of the Friends of the LBJ Library, please choose a membership level below: General membership General membership for two Senior citizen membership (65 and over) Senior citizen membership for two Sustaining membership $80 $160 $65 $130 $250 Title: Dr./Mr./Mrs./Ms. (please circle) Other: _________________ Name: ________________________________________________ Address: ______________________________________________ City: ______________________ State: _____ Zip: ____________ Telephone: ____________________________________________ Email address: __________________________________________ If you provide an email address you will receive our monthly eNewsletter. ___ Enclosed is my check. Please make check payable to the Friends of the LBJ Library. ___ Please charge my credit card. Type of card: VISA ____ MasterCard ____ AMEX ____ Card Number: ______________________________________________ Expiration Date: ____________________________________________ Name on card: ______________________________________________ Signature: _________________________________________________ Please send a gift membership to: Title: Dr./Mr./Mrs./Ms. (please circle) Other: ____________ Name: ____________________________________________________ Address: __________________________________________________ City, State, Zip _____________________________________________ Telephone: ____________________________________________ Email address: __________________________________________ Thank you for your support. Please mail this form to: Friends of the LBJ Library 2313 Red River Street Austin, Texas 78705 Or, you may fax to (512) 232-2285. Questions may be directed to (512) 721-0176.