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

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