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Cullom-Davis Library

Please Print Off the Following Form:

Membership Application

"Yes, I want to be a Friend."

 _________________________________

B.U. student ($5)

Name

Wyckoff Society ($50)

 _________________________________

Laura Bradley Society ($100)

Address

Cullom-Davis Society ($150)

 _________________________________

City, State, Zip
_________________________________

My check for $___________ is enclosed.

Phone

If your employer has a Matching Gift Program,

please call the Library at 677-2821.

Send to:

All contributions are tax deductible.

Friends of the Cullom-Davis Library

Bradley Library

Please make checks payable to:

1501 W. Bradley Ave.

Friends of Cullom-Davis Library

Peoria, IL 61625