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Name: |
______________________________________ |
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Address: |
______________________________________ |
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______________________________________ |
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Telephone: |
______________________________________ |
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E-mail: |
______________________________________ |
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2009 Membership Dues - $75 ($35 for students) Please check here _____ if you are a Life Member. Life Members are exempt from paying annual dues. |
$_____ |
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Life Membership - $650 |
$_____ |
| Operating Fund - Patron (≥$100) | $_____ |
| Operating Fund - Benefactor ($50 - $99) | $_____ |
| Operating Fund - Contributor (<$49) | $_____ |
| Trust Fund - Patron (≥$100) | $_____ |
| Trust Fund - Benefactor ($50 - $99) | $_____ |
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Trust Fund - Contributor (<$49) |
$_____ |
| TOTAL ENCLOSED | $_____ |
____ Please contact me about a Bequest to the Society.
____ Please contact me about sponsoring one or more Society Meetings.
Make checks payable to “Philosophical Society of Washington” and mail to:
Boris Ciorneiu