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Printable Membership Application Form

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Telephone

Check here if this is a gift membership.

Please indicate how much you would like the card to read:
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Donor's Name

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Address

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Please indicate level of membership:

Individual ($35)
Student ($20)
Family ($60)
Contributing ($100)
Supporting ($250)
Patron ($500)
Connoisseur ($1000)

My check in the amount of $__________ is enclosed for the category indicated.

Make check payable to: WOODMERE ART MUSEUM
Mail to:

Membership Services
WOODMERE ART MUSEUM
9201 Germantown Avenue
Philadelphia, PA 19118
215-247-0476

Thank you for your generous support!