Name: ___________________________________________________________Friends of Goleman Library
Membership Form
Organization: _____________________________________________________
Address: _________________________________________________________
City: _____________________________________________________________
State: ____________________________________________________________
Zip Code: _________________________________________________________
Phone Number: ____________________________________________________
E-Mail Address: ____________________________________________________
I would like to assist in the following areas: _____________________________
___________________________________________________________________
___________________________________________________________________
I have enclosed a check for annual membership in the following category:
| Copper (Students) | $10.00 |
| Bronze | $50.00 |
| Silver | $100.00 |
| Gold | $500.00 |
| Platinum | $1,000.00 |
Please make your check payable to
"Friends of the Library Council"
and send to:
The Director of Library Services,
Evia Moore
Goleman Library
San Joaquin Delta College
5151 Pacific Avenue
Stockton, CA 95207
