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THE
LINNAEAN SOCIETY OF NEW YORK
15
West 77th Street, New York, NY 10024
MEMBERSHIP
APPLICATION
Membership:
Active ($35.00)
____ Supporting ($75.00)
Associate ($20.00)*
____ Life ($600.00)
Name
Telephone Numbers:
Address
Home
City
State/Zip
Office
Occupation
E-mail
Natural History
Activities and Memberships
PROPOSED
BY
SOCIETY MEMBER (Sponsor)
*Associate
Member applicant resides more than 50 miles from the American Museum of
Natural History in New York and is unable to attend meetings
regularly
or is a full-time
student for the entire academic year at
.
Date
Signature
of Applicant
MAIL TO
SECRETARY, THE LINNAEAN SOCIETY OF NEW YORK, 15 WEST 77TH STREET, NEW
YORK, NY 10024. INCLUDE CHECK PAYABLE TO THE LINNAEAN SOCIETY
OF NEW YORK. APPLICATIONS
ARE NOT ACCEPTED WITHOUT SPONSOR
AND CHECK.
FOR
SOCIETY
USE:
COUNCIL
APPROVAL ON
MEMBERSHIP ELECTION ON
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