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: __________________________

Memberships – Please enroll me as (check one):
__ Student: $1
__ Senior: $1
__ Individual: $2
__ Business: $25
__ Household: $5
__ 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 795-2104. Thank you!