Friends of Folsom Library

2004 Membership Year (Gifts received through December 2004)

YES, I want to be a…

q Friend ($50 suggested) Your gift is tax deductible.

q Sustaining Friend ($100 and up) Please make check payable to:

q Organization Membership $___________ Friends of Folsom Library

q Enclosed is my contribution of $___________

Please list your name(s) exactly as you wish it to appear in print. MAIL TO:

Friends of Folsom Library

Name(s) _________________________________ Rensselaer Polytechnic Institute

Address _________________________________ 110 Eighth Street

City _________________________________ Troy, NY 12180-3590

State __________ Zip _____________

Class __________

Email address: _________________________

Thank you!