The Sawgrass Herpetological Society
Non-Venomous, Non-Profit
Membership Application
Name:_____________________________________________________________
Address:________________________________Phone:_____________________
City:_______________________________ State:______________Zip:_________
New Membership:_________________ Renewing Membership:______________
Are you willing to help with club activities ?________
Are you willing to attend a board meeting ?________
Are you willing to serve on committees for the club?_______________
Special Interests:
Lizards ______________Amphibians______________Snakes______________Crocodilians_____________
Mmembership rates are:
Individual $18.00/year Current FLHS $10.00 already member of another florida society. Family $20.00/year Number of children:____ Sustaining $25.00/year (US) Contributing $50.00/year
Print this form and mail with check to:
The Sawgrass Herpetological Society
PO Box 23189
Fort Lauderdale Florida 33307
