JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Bismarck Library Friends Membership Form
Memberships are for each calendar year (January 1-December 31).
Payment options:
~Mail check to - Bismarck Library Friends, PO Box 415, Bismarck, AR 71929
~PayPal -
https://www.paypal.com/donate/?hosted_button_id=7DKAJT3M2HET8
or
~In person at monthly meeting
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Contact Phone
*
Your answer
Alternate Phone
Your answer
Email
Your answer
New Membership or Renewing?
*
New Member
Renewing
Membership Type
*
Individual - $20
Family (single address) - $30
Business or Organization - $100
How will you be paying your dues?
*
Mail Check
Paypal
Pay in person
Occupation (before and/or after retirement)
Your answer
Age
0-5
6-12
13-18
19-30
31-50
50-64
65+
Clear selection
Hobbies and Interests
Your answer
What types of books do you prefer?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
