The New-York Historical Society 170 Central Park West New York, N.Y. 10024 I herewith present my application for membership in the society: Name Address. . Zip code. Business or profession. Enclosed is my check to be used in payment of annual membership fee as indicated below: Research * $ 10.00 Annual 20.00 Sustaining 35-oo Corporate 250.00 Pintard Fellow 100.00 or more * Does not include the Quarterly, invitations to lectures, or discounts on photocopies and books. Annual members may commute all dues for life by the payment at any one time of $250.00. Date signed