MEMBERSHIP FORM
New York Sumi-e Society
First Name:	_______________________	Last Name:	_______________________
Address:	_______________________	Telephone:	_______________________
	_______________________	Fax:	_______________________
	_______________________	EMail:	_______________________
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Annual dues: $30.00 Please mail dues to:
	Costanza Baiocco 155 West 68th St, Apt. 232 New York, NY 10023 Please make check out to NY-Metro Chapter
Membership is open to artists and non artists