SIHS Membership Application

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* Indicates Required Information

*Name   
*Address
Address2
*City           *State     *Zip Code
*Country
E-mail    

*Age (Under 18 requires parental consent and is subject to special rules.)
18 or Over    17 or 16    Less than 16

My MAIN interest is:

General Herpetoculture
Snakes in general
Boids (pythons & boas)
Colubrids (ratsnakes, cornsnakes, etc.)
Lizards in general
Iguanas
Monitors
Turtles
Tuatara
Amphibians in general
Salamanders & Newts
Frogs & Toads

Special Interest (such as "cornsnakes" or "herp photography")

Herps I have include
And I'd like to have 

I   AM /  AM NOT  interested in being an SIHS officer.

                        

                        

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