2. First Name*
3. Last Name*
5. Address*
7. City*
8. State*
9. Zip*
11. Daytime phone number*
12. Email address*
13. Date of Birth*
    Date of Birth
15. Membership Type (New Member)*
    -- Select One --N/ASenior - Individual ($15)Senior - Couple ($25)Student ($15)Individual ($20)Family ($25)Patron ($50)Bronze ($100)Silver ($250)Gold ($500)

    Choose the type of new membership. You will receive an invoice for your Friends of the Library Membership by email.

16. Membership Type (Membership Renewal)*
    -- Select One --N/ASenior - Individual ($15)Senior - Couple ($25)Student ($15)Individual ($20)Family ($25)Patron ($50)Bronze ($100)Silver ($250)Gold ($500)

    Choose the type of membership renewal. You will receive an invoice for your Friends of the Library Membership by email.

18. PIN Number
    New Members receive a special Friends of the North Palm Beach Library Card. Please type a four (4) digit pin number for your library card password.
20. Payment Method*

    1. I prefer to be called to process my payment.
    2. I prefer to mail a check to the Friends of the North Palm Beach Library.

    Please select your preferred payment method. At the current moment, the North Palm Beach Library is unable to process ePayments. If mailing a check to the North Palm Beach Library, please write the check to:
22. Friends of the North Palm Beach Library 303 Anchorage Dr. North Palm Beach, FL 33408
24. Payment Process*

    1. I Understand

    By checking the box above, you understand that a staff member will contact you to complete the payment process by phone or that you will be mailing a check to the Friends of the North Palm Beach Library. Phone payments processed will appear as a PayPal charge from the Friends of the North Palm Beach Library. You will receive a copy of your receipt once your payment has been processed.
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26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit Submit and Print

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