Friends of Goleman Library
Membership Form

Name: ___________________________________________________________

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:
 
Students $5.00
Staff $10.00
Bronze $20.00
Silver $30.00
Gold $50.00
Platinum $100.00 or more
Lifetime $250.00 or more

Please make your check payable to:
"Friends of the Library Council"
and send to:

Dean of Languages, Library and Learning Resources,
Joe Gonzales
Goleman Library
San Joaquin Delta College
5151 Pacific Avenue
Stockton, CA 95207
Last edit: 22 Apr 2013 sms