Friends Membership Application

The University of Scranton Weinberg Memorial Library

Membership Application

* First Name:

   Middle Initial:

* Last Name:

* Billing Address:

* City:

* State:

* Zip/Postal Code:

   Email Address:

*Home Phone Number:

Work/Cell Phone:

                  Annual Membership (calendar year):

Qty Renewal

Student: $10

Individual: $25

Family: $35

Corporate: $500

Other Amount

Grand Total: $

* Method of Payment:

* Credit Card Number:

* Expiration Date:

I would like to receive email notification about future Library events.

* Fields marked with a red asterisk are required fields.