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THE
LINNAEAN SOCIETY OF NEW YORK
P.O. Box 4121, New York, NY 10163-4121
MEMBERSHIP
APPLICATION
Name:
_______________________________
Street Address:
_____________________________ __
Apt./Suite:
_______________________________
City, State, Zip:
__________ __ _______ __ _______ __ _______
Telephone: ________________________________________________________ E-mail:
____________________________________ ___
Sponsored by:
____________________________________ ___
(Our
constitution requires that every candidate for membership be sponsored
by a member) I am interested in joining at the following level: ____$35.00 = Active Member ____$75.00 = Supporting Member ____$20.00 = Associate Member
(a) for persons living more than 50 miles from NYC;
or (b) for full-time
students (photocopy of ID required)
____$600.00 = Life Member (may be
paid in four installments)
Signature: _______________
Date:
______________________________________
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