Yes, I want to participate in the work of the
Alachua County Library District Foundation.
Enclosed is:
___ $100 Associates Membership
___ $150 Household Associate
___ $300 Business Associate Membership
Name ______________________________________
Company Name (for Business Associate only)______________________________________________________
Address ___________________________________
City _______________________ State _________
Zip __________________
Phone ________________
E-Mail _______________________________
______Check Enclosed OR
Credit Card: __Visa __Master Card
CC#____________________________ 3/4 digit security code___
Expiration___/___ Signature_____________________________
Mail to:
Attention: Membership Chair
ACLD Foundation, Inc.
401 E. University Ave.
Gainesville, FL 32601
For additional information, call 334-3910