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Flower-Sprecher Veterinary Library Society
Society Membership Form

Member Information

 

Title

 
 

First Name

 
 

Last Name

 
 

Name of Spouse/Partner

 
 

Street Address
   (Include Suite or Apartment)

 
 

City

 
 

State

 
 

Zip/Postal Code

 
 

Phone

 
 

Fax

 
 

Email Address

 
 

Cornell Alumnus/Alumna?

 
 

Degree

 
 

Year Received

 
 

Spouse/Partner Cornell Alumnus/Alumna?

 
 

Degree

 
 

Year Received

 

Membership Level

 

Select a Membership Level

 
 

Actual Amount of Gift

 

Corporate Matching Gift

     You can double your gift to the Flower-Sprecher Veterinary Library if the company you work for matches employee charitable giving. Please check with your employer for information and a form.

     Please mail the matching gift form that your company provides to the address included in the cover page.
 

Amount of Corporate Gift

 

Honoring Someone
     Designate my membership gift as follows: Full Name


Payment Method