Yes! I want to be a Member of The Studio Museum in Harlem. (tear here)
Mr.
Ms.
Mrs.
Other
1 Year Renewal Gift
Name of membership holder
MEMBERSHIP Donor $500 Associate $250
Name of additional Member (Family/Partner level members and above)
Supporter $125 Family/Partner $75 Individual $50 Student $25* Senior $25*
Address
STUDIO SOCIETY Studio Society $1500 City
State
Zip *(Student/Senior Membership will not be processed without a copy of a valid ID)
Work Phone
Home Phone
I have enclosed my check (make check payable to The Studio Museum in Harlem)
Email Address
Please do not make my name, address and other information available to third-party providers. Please list as Anonymous.
MAIL TO The Studio Museum in Harlem 144 W. 125th St. New York, NY 10027