The Friends of the Kilgore Public Library
                                                        Membership Application

Name:________________________________________________________________________

Address:______________________________________________________________________

City & State:___________________________________________________________________

Email: ________________________________________________________________________

Phone: _______________________________________________________________________

                                                                      Membership level (please circle one):

                                                                                         Individual - $10
     
                                                                                             Family - $15

                                                                                      Senior (over 60) - $3

                                                                                     Child (under 18) - $2

                                                                                             Donor - $25

                                                                                            Patron - $50

                                                                                        Sponsor - $100


                                             Please return this form to the library or you can mail it to:

                                             Friends of KPL, 301 N. Henderson Blvd., Kilgore, TX  75602