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Membership Form

JOIN NYSMEA > Membership Form

Thanks for becoming a member! Please provide the following contact information so we can learn a little more about you and email you our newsletter, The Strandline.

If this page does not print out for you properly, please use this printable version (pdf).

Membership and rates (Check one):
___ Individual - $20
___ Family (immediate family only) - $30
___ Student - $10
___ Nonprofit (up to 3 members) - $50
___ NYSMEA + National Marine Educators Association - $65
___ Corporation Institute (up to 5 members) - $100
___ Lifetime - $500

Name: Mr. Mrs. Ms. Dr. _______________________________________________

Home address: ___________________________________________________________

Phone Number: __________________________________________________________

Email address: ___________________________________________________________

Work title: ______________________________________________________________

Work address: __________________________________________________________

How did you hear about us? ________________________________________________

Would you be interested in joining any of the following committees? We can always use new ideas! (Check those that you would like to learn more about)
____ Awards Committee
____ Conference Committee
____ Membership Committee
____ Public Relations Committee
____ Strategic Planning (Ad Hoc) Committee
____ Web site (Ad Hoc) Committee
____ Education Committee

Would you be willing to help with our annual conference? _____________

Form of payment for membership _______Paypal or check_____________

Please send this completed form and a check for $20 to:
NYSMEA c/o New York Sea Grant, 146 Suffolk Hall, Stony Brook, NY 11794-5002 or email the membership form to membership@NYSMEA.org.

Payment can also be made using our online system.


: 146 Suffolk Hall Stony Brook . NY . 11794 Phone: 631-632-9216
NYSMEA is a 501(c)(3) nonprofit organization
©NYSMEA. All Rights Reserved 2010.