FRIENDS OF ELLENDER MEMORIAL LIBRARY ANNUAL MEMBERSHIP FORM

Name:

Email:

Phone:

Mailing Address:

City:

State:

ZIP:

Membership Level:

Student $15	Individual $25
Sustaining $50 or more	Sponsor $100 or more
Patron $1,000 or more

I would like to volunteer to assist with projects, please contact me.

Please print this form and mail it with your check payable to NSU Foundation remarks, Friends of Ellender to:

Ellender Memorial Library - Friends
Nicholls State University
P.O. Box 2028
Thibodaux, LA 70310

or via campus mail:
Ellender Library
Friends

For more information: call (985) 448-4646 or email daisy.pope@nicholls.edu

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