Date ______________ 

Name(s) ___________________________________

Address ____________________________________

E-mail ______________________________________

Home Telephone      (_____) __________________     

Business Telephone  (_____) ___________________

New  Member  ☐        Current  Member   ☐

Annual Membership Categories (check one):  

  ☐ Individual: $10           ☐ Family: $25                                                     

  ☐ Fellow: $50                ☐ Business: $50   

  ☐ Patron: $100  

Check here to register as a Friends Volunteer  ☐             

Make checks payable to: Audelia Road Library Friends             

Mail to: 10045 Audelia Road, Dallas, Texas  75238

If your company has a "matching gift" program, please send us the
appropriate form so we can double your donation.   

Audelia Road Library Friends is a not-for-profit organization registered
in Texas, and has received IRS recognition as a 501(c)(3) organization.