FRIENDS OF THE TORRANCE LIBRARY

P. O. BOX 4005  

Torrance, California 90510

Print this form, fill in the blanks and mail to the above address with your check. After receipt, a membership card will be mailed to you. In the event that an application is received shortly before a members only book sale date, your card will be held at the membership application table on the day of the sale.

Name _________________________________________________________ Address _______________________________________________________ City _________________________________ Zip _____________________ email address __________________________________________________

Types of Membership:	Check One
Individual	$3.00 _______
Family	$6.00 _______
Organization	$25.00 ______
Patron	$25.00 ______
Life	$100.00 _____