Bucks County Library Association Membership
Application
_____ Yes, I am joining BCLA. $20.00/year (Dues are collected from September to October of each
year)
Name:________________________________________
Library: _______________________________________
School District/County:
___________________________
Phone: _______________________________________
Fax: _________________________________________
Email: _______________________________________
Home Address:
________________________________
Home Phone: _________________________________
Check one:
______
May publish home phone #
______ May not publish home phone #
MAKE CHECK PAYABLE TO: BCLA
SEND CHECK AND FORM TO:
Beth Lander, BCLA Treasurer
57 Meadow Lane
Doylestown, PA 18901
