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Philip Lee Phillips Society Annual Membership Application


Membership Categories:

  • Lifetime $100,000
  • Benefactor $10,000
  • Patron $5,000
  • Sponsor $1,000
  • Supporter $500
  • Contributor $250
  • Member $100
  • Associate $50


Name :

Address :

City :

State :

Country :

Telephone :

Fax :


E-Mail :

Print this form to local printer.
Please make checks payable (in U.S. dollars) to the
Library of Congress-Phillips Society Gift Fund.

After completing the form, return by mail with your check to :
Library of Congress
Geography and Map Division
101 Independence Avenue, S.E.
Washington, D.C. 20540-4650

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  March 23, 2022
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