The Paleontological Association of South Texas
Membership Application

If you have an interest in prehistoric life & like to share your knowledge & skills please consider joining us. Membership costs are : $12.00 single & $15.00 family a minimum age of 8 years . Age waiver release by officers approval only. Club members under 18 years of age must be with a parent or guardian while at meetings and on field trips.

I would also like to volunteer my help to the following area(s):
     [ ] Field Trips         [ ] Membership         [ ] Computer Prog.          [ ] Mailings
     [ ] Education          [ ] Newsletter            [ ] Research Projects      [ ] Fossil, Gem & Mineral I.D.
     [ ] Website             [ ] Library                 [ ] Other:  _______________________________________

MEMBER INFORMATION

NAME:______________________________________________________________________________
ADDRESS:__________________________________________________________________________
CITY, STATE, ZIP:____________________________________________________________________
HOME PHONE: ______________________________________________________________________
E-MAIL ADDRESS: ___________________________________________________________________
OCC./SKILLS:_______________________________________________________________________
SPECIAL PALEO INTEREST:___________________________________________________________

I understand and agree that the Paleontological Association of South Texas assumes no
liability in case(s) of accident or injury, therefore I release and hold harmless the association, it's officers and agents from any claim and /or damages of any kind arising from any activity associated with the association.

           Signature: __________________________________   Date: __________________

Make checks payable to:
     Clayton R. Nye - President

Send to:
     The Paleontological Association of South Texas
     
4210 Tropical Dr.
     San Antonio, Texas 78218-1246

(Phone) 210-590-2674                               (Website) www.Past1.net                               (Email) dino1@stic.net