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, $12.00 of which is for a subscription to the Quarterly. Research $ 10.00° Annual 25-00 Sustaining 50.00 Corporate 250.00 Pintard Fellow 100.00 (ormore) Annual members may commute all dues for life by the payment at any one time of $1,000.00. * Does not include the Quarterly, invitations to lectures, or discounts on photocopies and books. Date SIGNED.