Please print, complete, and return this form and your check to:

Friends of the Mazomanie Free Library
P.O. Box 458
Mazomanie, WI 53560

Name: __________________________

Address: _________________________

City: ____________________________

Zip: ____________________________

Phone: __________________________

Email: __________________________

Memberships – Please enroll me as (check one):

___ Individual: $5

___ Household: $10

___ Business: $25

___ Student: $2

___ Senior: $2

___ Lifetime (household): $100

All memberships are annual (except Lifetime) and are tax deductible. Make checks payable to Friends of the Mazomanie Free Library.

Questions? Call the Library at 608-795-2104. Thank you!