Please fill out the MDMLG Membership Form. Fields with an asterisk (*) are required. If you would prefer to use the printable version of the form, go to We are using Paypal to accept credit card payments. After you submit this form, you will be able to enter your credit card information.

* 1. Name:

* 2. Institution:

* 3. Library/Department:

* 4. Street Address:

* 5. City, State, Zip:

* 6. Phone (Voice):

* 7. Fax:

* 8. Email:

* 9. Mailing Address (If different from above):

* 10. Type of Membership:

* 11. If you selected Student Membership, what school are you currently attending? By joining MDMLG, students get a free reciprocal membership with MSHLA.

* 12. If you selected Emeritus/Retiree Membership, with which institution do you wish to be affiliated?

* 13. Please check one:

* 14. Method of Payment: