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fol membership form - old dominion university · 2018-06-28 · membership information. name __...

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  • FOL Membership Form - Old Dominion University · 2018-06-28 · MEMBERSHIP INFORMATION. Name __ Address Home Phone E-Mail:_____ ODU Alum? Yes (year: ) No Employer __ Work Phone Address
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MEMBERSHIP INFORMATION Name __ Address Home Phone E-Mail:_________________________________________________________________________ ODU Alum? Yes (year: ) No Employer __ Work Phone Address Does your employer have a matching program for Donations Yes (Match percentage: _____%) No For Sponsor memberships, please list name(s) of family members: I would like to volunteer to help the Friends of the Library in the following area(s): Membership Programs Publicity Service GIFT CATEGORIES (Borrowing privileges are offered as a benefit of membership) BASIC $50/year SPONSOR $100/year Please bring this completed form and your payment, along with a valid picture identification (i.e., unexpired driver’s license, military ID, official state ID card, or passport) and a proof of address (i.e., a utility bill with your name and address) to the Help Desk on the first floor of Perry Library. Once your application is approved and your payment received, your borrower’s card will be issued by a Learning Commons staff member.

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Page 1: FOL Membership Form - Old Dominion University · 2018-06-28 · MEMBERSHIP INFORMATION. Name __ Address Home Phone E-Mail:_____ ODU Alum? Yes (year: ) No Employer __ Work Phone Address

MEMBERSHIP INFORMATION

Name __

Address Home Phone

E-Mail:_________________________________________________________________________ODU Alum? Yes (year: ) No

Employer __ Work Phone

Address Does your employer have a matching program for Donations Yes (Match percentage: _____%)

No

For Sponsor memberships, please list name(s) of family members:

I would like to volunteer to help the Friends of the Library in the following area(s): Membership Programs Publicity Service

GIFT CATEGORIES (Borrowing privileges are offered as a benefit of membership)

BASIC $50/year SPONSOR $100/year

Please bring this completed form and your payment, along with a valid picture identification (i.e., unexpired driver’s license, military ID, official state ID card, or passport) and a proof of address (i.e., a utility bill with your name and address) to the Help Desk on the first floor of Perry Library. Once your application is approved and your payment received, your borrower’s card will be issued by a Learning Commons staff member.

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Typewritten Text
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Typewritten Text
Friends of the Old Dominion University Libraries
kvaughan
Typewritten Text
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