NYPS Membership Application

New York Paleontological Society Website Application

*Make check or money order payable to the*	New York Paleontological Society
and send to	P.O. Box 287
	Planetarium Station
	127 West 83rd Street
	New York, NY 10024

PLEASE DETACH AND RETURN WITH YOUR DUES

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

WEBSITE APPLICATION

MEMBERSHIP YEAR Sept 2024 - Aug 2025 Today's Date_________________

Please check one: _____New Member _____Renewal

Name_______________________________________________ Phone ( )_____________

E-mail_____________________@_____________________

Street__________________________________________________________Apt.__________

City_____________________________________ State________________ZIP____________

Membership Category: _____Individual ($15.00) Amount Enclosed$_______________

_____Family ($20.00)

How did you first learn about the society?_____________________________________________

Do you have any expertise in paleontology or geology?___________________________________

_____________________________________________________________________________

May we contact you to help with volunteer committee work?________________________________

Affiliations to other societies or groups (if any)__________________________________________

Please list interests (especially in paleontology or related fields):____________________________

_____________________________________________________________________________