Online Registration Form
Become a Member
Friends of the Ascension Public Library
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred form(s) of communication
*
Email
Text
Phone Call
Would you like to volunteer at events?
*
Please Select
Yes
No
What is your most visited library location?
Please Select
Gonzales
Dutchtown
Galvez
Donaldsonville
Study Commons
Bookmobile
Are you a new member or renewing your membership?
*
Please Select
I am a new member.
I am renewing my membership.
Would you like to purchase a Single or Family membership?
*
Please Select
Single
Family
Please list household members included in Family Membership here:
Include first and last names.
Signature
Friends of the Ascension Public Library Annual Dues
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Single Membership
One household member
$
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
Family Membership
Two or more household members
$
20.00
Quantity
1
2
3
4
5
6
7
8
9
10
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