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NYCMER Individual/Student Membership and Renewal Application Please print out, complete and mail this form with a check (payable to NYCMER) for $30 (individuals) or $20 (students) to: Greer Kudon Manager of School Programs and Outreach The Jewish Museum 1109 Fifth Avenue NY, NY 10128 |
| Type of Membership (circle one):
Individual ($30) |
| Is this a new membership or a renewal? (circle one):
Renewal |
Name: |
| Title: |
| Institution or Organization: |
| Please send NYCMER mailings to my (circle one):
Work address |
| Street Address: |
| City: |
| State: |
| Zip: |
| Office Phone: |
| Home Phone: |
| Fax: |
| TTY Number: |
| E-mail: |