Mail-in Membership/Donation Form
YES! I want to support the Greenwich Village Society for Historic Preservation by becoming a member.
Enclosed is my tax-deductible gift of:
$50 Individual
$75 Family/Dual
$100 Contributor
$250 Sustainer
$500 Sponsor
$1,000 Patron
$2,500 Benefactor
$5,000 Founder
Other 
$25 Gift Membership—Special offer for current members to give!
Name of Donor (or gift recipient):
Address: Daytime Telephone:
Evening Telephone:
Email:
Member’s name (for gift membership’s only):
How did you hear about GVSHP?
Please print this form and mail along with a check payable to GVSHP to:
The Greenwich Village Society for Historic Preservation, 232 East 11th Street, New York, NY 10003.
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