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Application for Membership



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


Mail To:

Donald Straub, Secretary/Treasurer

NYSAA-TCC

1187 Colesville Rd.

Binghamton, NY 13904

Email: nysaatcc@yahoo.com