SOUTH TEXAS HERPETOLOGY ASSOCIATION MEMBERSHIP APPLICATION
To join the South Texas Herpetology Association, please fill out the form below and bring it to our next monthly meeting, or mail it to us at the address listed below, along with your check
.NAME:______________________________________________________________________________
ADDRESS:__________________________________________________________________________
CITY:_______________________________________________________________________________
STATE:_______________________________________ZIP+4:_______________________________
HOME PHONE:________________________ OTHER PHONE:__________________________
EMAIL ADDRESS:__________________________________________________________________
What membership level are you interested in? Please check one.
( ) Individual $20.00 ( ) Contribution Business $50.00 ( ) Family $25.00
( ) Junior $15.00 ( ) Lifetime $150.00
*
All dues are annual except Lifetime.What type of Herpetofauna are you interested in?
( ) Snakes ( ) Toads ( ) Tortoises ( ) Turtles ( ) Lizards
( ) Monitors ( ) Iguanas ( ) Salamanders ( ) Crocodilians ( ) Frogs
( ) Others__________________________________________________________________________
Thank you for your interest in herpetology and STHA
.Phone: 210-520-6101
Email:
southtxherps@yahoo.com