Friends of the NIU Libraries: Membership Form - NIU - University Libraries

Northern Illinois University

University Libraries

Friends of the NIU Libraries: Membership Form (Printable Version)


Please print this form, fill it out as completely as possible, and mail it to the address below.

Please check the appropriate boxes:

Mr.   Mrs.   Ms.   Miss   Dr.  
and  
Mr.   Mrs.   Ms.   Miss   Dr. 







First Name 1:  ______________________________

Last Name 1:   _____________________________

First Name 2:  ______________________________

Last Name 2:   ______________________________

Address:         _______________________________

City/State/Zip: ___________________________________________

E-mail (if available): __________________________

Telephone:     _______________________________

Please circle:
Faculty/Staff
Student
Community Member
Other

What brochure(s) would you like to receive? (Please circle):
Friends of NIU Libraries
Ensuring the Future
Library Book Fund
Adopt-A-Journal

Annual membership contributions are as follows (Please circle):
Student -- $10
Individual -- $35
Family -- $50
Donor -- $100
Benefactor/Corporate -- $500
Life -- $1000

Please make checks payable to:
Friends of NIU Libraries

and send to the following address:
Friends of NIU Libraries
University Libraries
Northern Illinois University
DeKalb, IL 60115


Thank you for your interest!

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