Please print out this application, fill in the information, and mail along with your membership dues to:

Friends of the Cass County Public Library
c/o Cass County Public Library Headquarters
400 East Mechanic
Harrisonville, MO  64701

Or, you can drop off the application and your membership dues at the library branch nearest you.

Name: ________________________________________________________________

Business Name (if applicable): ____________________________________________

Street address: _________________________________________________________

City, State, ZIP: ________________________________________________________

Phone: ____________________________    Email: ____________________________

Membership type (circle one):

Individual  ($15) Family   ($25) Corporate  ($100)

I would like to make an additional donation to the Friends in the amount of: ___________

I am a library volunteer (circle one):        Yes            No

If yes, how many hours of volunteer time would you like applied to your membership?  ________________
(One volunteer hour may be substituted for each dollar of membership dues.)

At which branch(es) did you volunteer? ________________________________________

When did you volunteer? ___________________________________________________

Dues paid prior to the Annual Meeting in November are good for the current calendar year.  Dues paid at or after the Annual Meeting in November are good for the following calendar year.

Dues paid and other donations made to the Friends of the Cass County Public Library are tax-deductible.

THANKS FOR BECOMING A FRIEND OF THE CASS COUNTY PUBLIC LIBRARY!

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