Print this page. Then check your level of membership and fill out the printed form.
Mail to: LLM, Membership Dept., 26 Wooster Street, New York, NY 10013-2227.
We accept checks, Mastercard, Visa and money orders only.

Art Lover: $35 _____
Annual benefits include:
- Home delivery of, The Archive, our quarterly journal.
- 25% discount on Museum-organized tours (does not apply to third-party tours).
- $5 discount on Museum-published books and Erotic Drawing Studio sessions.

Artist _____, Student _____, Senior: _____ $25
- Annual benefits same as Art Lover

Domestic Partners/Dual: $60 _____
- Annual benefits same as Art Lover. (For two people at the same mailing address.)

Art Voyager: $150 _____
Annual benefits include all those above, plus:
- Invitation to private Museum events.
- 10% discount on art purchases of $100 or more.

Art Patron: $500 _____
Annual benefits include all those above, plus:
- A signed limited-edition silkscreen fine art poster OR
- A copy of Treasures of Gay Art from the Leslie-Lohman Gay Art Foundation's Permanent Collection.

Art Benefactor: $1,000 _____
Annual benefits include all those above, plus:
-15% discount on art purchases of $100 or more.
- Use of the Leslie-Lohman Gallery for a private event (restrictions apply; inquire for details).

Volunteers, Docents, Interns (free membership -- equivalent to Art Lover)
Volunteers, Docents and Interns become the equivalent of Art Lover level members after a period of 5 weeks or equivalent work.

Your donation is tax-deductible to the full extent allowed by law.

Make check or money order payable to LLM. We also accept Mastercard and Visa.

Name: ________________________________________________________________
Address: ______________________________________________________________
City: ______________________________ ST: ______________ Zip: ______________
Country: _______________________________________________________________
Phone: ____________________________ Fax: _______________________________
E-mail: ______________________________________ Date: ____________________

Additional name for Domestic Partners/Dual Level:
Name: __________________________________________
E-mail: __________________________________________

I am paying by (circle one): Mastercard / Visa / Check / Money Order

Credit card number: _____________________________________________________

Expiration date: ____________/_____________ (mm/yy)

I am renewing my membership at the above noted level _________

I have included a bequest to LLM in my will or trust __________

I would like to become a volunteer at LLM_________

I do not wish to become a member at this time but to help offset your mailing expenses I am donating $ ____________.

Your donation is tax-deductible as allowed by law. Some companies offer a Matching Gift program. Please write your employer's name below if you would like us to check if they will match your gift at no cost to you.
__________________________________________________________________________________________________

Members and non-members can also support the Museum by funding a specific project or exhibition, hosting a fund raiser, frame a work of art, or donating books to our library. And remember you can support LLM through your will or estate plan. Please contact LLM at the above address or call 212-431-2609 for further details.

THANK YOU FOR YOUR SUPPORT

(Rev. 07/20/2010)