Membership Form
Membership to the New York Earth Science Teachers Association becomes active upon remittance of $15.00 via PayPal or by check to our Treasurer. PayPal will automatically 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 *
Your answer
(Home) Mailing Address *
Your answer
(Home) City, State, Zip *
Your answer
Your answer
Preferred Phone Number *
Your answer
Email *
Your answer
Job title *
Your answer
School Name *
Your answer
Work Mailing Address (with City, State, Zip) *
Your answer
Subjects I teach
I am a member of the National Earth Science Teachers Association *
Required
This membership is a *
After hitting the 'Submit' button for this form, I need to scroll ALL the way down to the bottom of the next page in order to access PayPal(a 'Subscribe' button).
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