Summer/Fall 2012 Download PDF - The Studio Museum in Harlem
Summer/Fall 2012 Download PDF - The Studio Museum in Harlem
Summer/Fall 2012 Download PDF - The Studio Museum in Harlem
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<strong>Summer</strong>/<strong>Fall</strong> <strong>2012</strong> 94MembershipFormYes! I want to be a memberof the <strong>Studio</strong> <strong>Museum</strong><strong>in</strong> <strong>Harlem</strong>.Name of membership holder1 YearRenewalGiftName of additional member (Family/partner level members and above)AddressCity State ZipWork PhoneEmail AddressHome PhonePlease do not make my name, address and other <strong>in</strong>formationavailable to third-party providers.Please list as Anonymous.MembershipBenefactor $1,000Donor $500Associate $250Supporter $100Family/Partner $75Individual $50Student $25*Senior $25*<strong>Studio</strong> Society<strong>Studio</strong> Society $1500<strong>Studio</strong> Society $2500*(Student/Senior Membership will not beprocessed without a copy of a valid ID)American ExpressMasterCardVisaName of cardholderI have enclosed my check (make checkpayable to <strong>The</strong> <strong>Studio</strong> <strong>Museum</strong> <strong>in</strong> <strong>Harlem</strong>)AddressAddress State ZipWork PhoneHome PhoneCard NumberSignatureExpiration Date» MAIL TO<strong>The</strong> <strong>Studio</strong> <strong>Museum</strong> <strong>in</strong> <strong>Harlem</strong>144 West 125th St,New York, NY 10027
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