Friends of the Santa Cruz Public Libraries

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Day Phone: Eve Phone*:

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$15 Student/Senior
$20 Individual
$35 Family
$50 Business
$100 Contributor
$500+ Benefactor
Other:________________

Paying by credit card? Visa MC

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Print name as it appears on card: ________________________ Exp. date: ____/____

Signature:___________________________

Check enclosed (Make checks payable to FSCPL)

PRINT THIS FORM and mail to: FSCPL, P. O. Box 8472, Santa Cruz, CA 95061-8472. For more information, call (831) 420-5790 or www.fscpl.org. We are a registered nonprofit 501(c)3 in the State of California, Federal Tax ID #94-2612557.