To join the Friends of the Cora J. Belden Library, print and fill out this form; then, mail the form and your check to the address listed below. All dues are used to benefit the library.

Thank you for your support.

FRIENDS OF THE CORA J.BELDEN LIBRARY

Check one:

q Household_______$10                          Name: ________________________

q Sponsor_________$25                          Street: ________________________

q Patron__________ $50                           Town: ______________          State: _____

q Life____________ $100                         Zip: _________

q Corporate________$125

Please make your tax deductible check payable to :

Friends of the Cora J. Belden Library

33 Church Street
Rocky Hill, CT 06067-1568