Membership Application

 

Application for Archaeology Society of Staten Island Membership

All memberships are based on a September– August year

Membership is not pro-rated

 

Individual membership $30.00                                     Student membership (under 22) no charge

Family/Dual membership $45.00                      Life member $250.00

 

Please enroll me/us as a _________________________________________member. Enclosed is a check in the amount of $_____________

 

Payable to the Archaeology Society of Staten Island. Mail to PO Box 140504, Staten Island, NY 10314-0504

 

Name ________________________________________________________

Address ___________________________________________________ City _________________________ State ______ Zip___________

Email:____________________________________________________________

Phone (______) _______________________________

 

[ ] Please send renewal notices and lecture newsletters by email. I understand that I will no longer receive paper mailings.

[ ] I prefer to continue to receive renewal notices and lecture newsletters through regular USPS mail.