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International Membership Online Order Form

FOLUSA WELCOMES MEMBERSHIPS from libraries, Friends groups, and library supporters world-wide. Dues for international members reflect the additional handling and mailing costs.

To pay by check, complete the form, print, and mail with your check or money order, payable to FOLUSA. Payment must be in United States dollars. Send to:

Friends of Libraries U.S.A.
1420 Walnut St. Suite 450
Philadelphia, PA 19102
To pay by Visa, Mastercard, Discover Card, or American Express, complete the form and click the "Submit" button to send the information and pay via a secure server. Payment in United States dollars. An e-mail address is required.

New Member Renewing Member Membership Number (from your newsletter label)

Name of Member or Group:
Contact Person:
Mailing Address:
City:
Country:
Telephone:
FAX:
Email: (required)

This membership is for a: Personal membership    Friends Group
Library, school, or other institution Other (Please describe):

Dues are based on the type of membership.

Personal membership

US$45

Friends group (up to 100 members)

US$52

Small Library or School

US$65

Friends group (101 to 499 members)

US$85

Large Library or School

US$130

Friends group (500 members or more)

US$130

Payment Options

I enclose my check in the amount of $
I will pay $ by credit card.