Wellesley College Library
Friends of the Library Membership Form

Print this form, complete it and mail it to the address at the bottom of the form. Thank you.

Personal Information  
First Name ________________________________________________________________
Last Name ________________________________________________________________
Address ________________________________________________________________
City ________________________________________________________________
State _______________
Zip _______________
Home Phone _______________
Work Phone _______________
Email ________________________________________________________________
 
Membership Information
Check one:   New     Renewal
Choose preferred membership level:
Please do not send invitations to programs. I wish to receive the Friends' Newsletter only.

Matching Gifts Program (send separate confirmation from your company)
Company name

Would you like to give a gift of membership?
Gift membership level:

First Name ________________________________________________________________
Last Name

________________________________________________________________

Address ________________________________________________________________
City ________________________________________________________________
State ________________________________________________________________
Zip ________________________________________________________________

Payment Type (circle one):

Check

or

Credit Card:  MasterCard    

  Optional - Send notification of this gift to :
Account number:
_________________________________________________   First Name
_________________________________________________
Expiration date: Month : ________________________   Middle Name _________________________________________________
  Year : __________________________   Last Name _________________________________________________
If you would prefer to pay by check, make check payable to Wellesley College,
complete this form, print it and mail to:

Friends of the Library,
Margaret Clapp Library,
106 Central Street,
Wellesley, MA 02481-8239		   Address _________________________________________________
  City _________________________________________________
  State or Country ________________
  Zip ________________
  • Wellesley College Library
  • Date created: March 6, 2006
  • Last modified: November 6, 2006
  • Expires: March 1, 2007