Friends Of The Trumbull LIBRARY Membership Application Name: _______________________ Address ______________________ Zip ________ Phone ___________ Can we count on you to volunteer? Yes _____ No ______ Type of Membership (Circle): Family $10 Supporting $15 Senior/Student $4 Patron $25 Corporate: $______ Life $100 Please answer the following questions to help us know more about you and the services you are interested in. Check one: retired ____ student ____ other ___ work full-time ____ part-time ____ Your age: under-25 ____ 25-35 ____ 35-45_____ 45-55 _____ 55+ _____ Children(s) Age(s): ______________ Library services most used or interested in : ____________________________ Comments: ____________________ __________________________________________________________________ Mail to: Membership Committee Friends of the Trumbull Library 33 Quality Street Trumbull, CT 06611