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THE
LINNAEAN SOCIETY OF NEW YORK
PO Box 4121, New York, NY 10163-4121
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, PO Box 4121, NEW
YORK, NY 10163-4121. 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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