LFNT Membership Application

Name: ______________________________________________

Address: ____________________________________________

City:_________________________ State: ____Zip:___________

Mailing address - if not the same as above:

Address: ____________________________________________

City:_________________________ State: ____Zip:___________

Phone:_______________________ Fax: ____________________

Alternate phone: __________________________

Email:_______________________________________________

Membership fee: $15.00 per year.

Please make checks payable to:

Library Foundation of North Texas

Thank you. We look forward to working with you.

Library Foundation of North Texas, Inc.

1065 Mercedes

Benbrook, Texas 76126

817/249‐6632