Annual Membership Form
To become a member or to renew your membership, complete the form below and mail it together with your check to: The Friends of Lilly Library at 19 Meadow Street, Florence, MA 01062.

Name _______________________ Address________________________________________________ Phone_______________________ Membership begins May 1st Tax Deductible Annual Dues: ___Senior/student - $10.00 ___Individual - $15.00 ___Family - $35.00 ___Sustaining - $100.00 ___Lifetime - $500.00 ___Other - $________ Please make checks payable to "The Friends of Lilly Library", and mail or deliver to Lilly Library.