Membership - Kingston Library

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email*

Mark  the  type  of  member  you  would  like  to  become.   Include  a  check  for  the  designated  amount.*

Please  contact  me  about  a  special  gift  to  the  Library  endowment  (i.e.  a  bequest).
I  have  enclosed  a  matching  gift  from  from  an  employer / organization.
I would like my gift to be anonymous.
I have enclosed a separate gift.

Gift amount:

My gift is in honor of someone.
My gift is in memory of someone.
Please inform an individual / family of my donation.

My gift is in honor of:

My gift is in memory of:

Name of individual / family to notify

First Last

Address of individual / family to notify

Street Address Address Line 2 City State ZIP Code

What  activities  would  you  like  to  help  us  with?   Check  all  that  apply.

Used Book Sale
Fundraising Projects
Special Events
Help With Mailings

Once you have completed this form, please  place  your  donation in  a  sealed  envelope  and  leave  it  at  the  circulation  desk  or  mail  to  the  library  at  55  Franklin  Street,  Kingston,  NY  12401,  c/o  Friends  of  the  Kingston  Library.