The undersigned makes application for the Chapter Membership in The Triple Cities Chapter for the New York State Archaeological Association and agrees to be governed by its Constitution, By-laws, and Rules as long as membership continues.
Date ____________________________
Name _________________________________________________________________________
Street _________________________________________________________________________
City ______________________________ State _________________ Zip ___________________
Telephone (______)___________________ County____________________________________
Email address ______________________________________
Signature ______________________________________________________________________
Please Select Desired Type of Membership
[ ] NYSAA Membership - individual.................................................................$25.00 / yr
includes annual issue of the NYSAA Bulletin
[ ] NYSAA Membership -
family......................................................................$35.00 / yr
includes one issue of the NYSAA Bulletin
[ ] NYSAA Membership - student.....................................................................$10.00 / yr
Enclosed: [ ] Check [ ] Money Order [ ] Cash
