Annual Support/Membership Contribution Levels:

$25 $100 $250 $500 $1,200 $2,500 $5,000 $10,000+

Supporter Contributor Sponsor Advocate Benefactor Booklover Collector’s Circle Literary Lion

Special Discounts:

If you are a student you are entitled to the following discounts:

Discounted Individual Membership: $20

Yes, I am a student and would like to take advantage of this discounted membership.

Title:

Suffix:

*First Name:

Middle Name:

*Last Name:

Title:

Suffix:

First Name:

Middle Name:

Last Name:

Donor Recognition information is used when you are recognized in the Ryerson Reader, our quarterly newsletter. With enhanced level members, our Donor Recognition Wall located on the second floor in the Ryerson building and at the branches selected below will also show the Donor Recognition information.

Fill in the member's name(s)
as you would like it listed:

Street Address or P.O. Box:

City:

County (Required for
non-resident discount):

State:

Zip Code/Postal Code:

*Home Phone:

Primary e-mail address:

Does your home address
change seasonally?

If "Yes", send mail to the alternate address below during this timespan:

01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 01 02 03 04 05 06 07 08 09 10 11 12

to

01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 01 02 03 04 05 06 07 08 09 10 11 12

Alternate Street Address:

Alternate City:

Alternate County (Required
for non-resident discount):

Alternate State:

Alternate Zip Code/Postal Code:

Alternate Phone:

Business Street Address or P.O. Box:

Business City:

Business County (Required
for non-resident discount):

Business State:

Business Zip Code/Postal Code:

*Business Phone:

Donation to GRPL Foundation:

Donation to Friends of the Library
groups for individual locations
(Please check each location and
enter donation amount for each):

*Credit Card Type:

*Credit Card Number:

*Expiration Date:

*Card Security I.D.
Number or (CVV):
CVV is an anti-fraud security feature to help verify that you are in possession of your credit card. For Visa and Mastercard, the three-digit CVV number is printed on the signature panel on the back of the card immediately after the card's account number

*Cardholder's Name:
(as it appears on card)

Is your credit card billing address
the same as your home address?:

Billing Street Address:

Billing City:

Billing State:

Billing Zip Code/Postal Code: