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THE AMERICAN ASSOCIATION OF MUSEUMS 2 WEST 46TH STREET NEW YORK, N. Y. DATE [[dotted line]] Application is hereby made for Membership in the class underlined below. Individual Member ... For Individuals ... $5 annually Life Member ... For Individuals ... $100 in one payment Institution Member ... For Museums ... $10 or more annually Name (Kindly print) [[dotted line]] Address [[dotted line]] [[dotted line]] Official position (if connected with a museum) [[dotted line]] [[dotted line]] Check for $ [[dotted line]] is enclosed herewith payable to the Association. ^[[checkmark]]