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INDIVIDUAL MEMBERSHIP JOIN/RENEW
Yes, I am pleased to join/renew my membership and join with others to strengthen and support the museums
of New York State. Please make remittance payable to the Museum Association of New York.
| Membership Fees:
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| [ ] |
Basic: |
$30 |
| [ ] |
Supporting: |
$50 |
| [ ] |
Sustaining: |
$100 |
| [ ] |
Patron: |
$250 |
| [ ] |
Advocate: |
$500 |
Membership continues for 12 months from the date of renewal.
Contributions above $30 are tax-deductible. |
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Please complete the following in order that we may update our files:
| Name ________________________________________________________ |
| Mailing Address ________________________________________________ |
| _____________________________________________________________ |
| County ___________________ Telephone _________________ Ext. ______ |
| Fax ____________________ Email _________________________________ |
| Web site ______________________________________________________ |
| Professional/Museum Affiliation ____________________________________ |
| Position _______________________________________________________ |
| Congressional District______ |
| State Senate District______ State Assembly District______ |
Please use this remaining space to tell us what programs/services you would like to obtain through your
MANY membership:
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