Join MDMLG

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 http://www.mdmlg.org/2017-2018%20Membership%20Form.doc. 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:

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