Membership Form
Please use this form to apply for membership for the New York Earth Science Teachers Association. Your membership will become active when you submit remittance to PayPal of $15.00 (when you Submit this form, you will be taken to the option to pay by PayPal). PayPal will debit $15.00 per year for your membership.

You must also be a member of the National Earth Science Teachers Association.
https://www.nestanet.org/cms/user/register

Name
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(Home) Mailing Address
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(Home) City, State, Zip
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Preferred Phone Number
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Email
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Job title
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School Name
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Work Mailing Address (with City, State, Zip)
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Subjects I teach
I am a member of the National Earth Science Teachers Association
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