The Texas Academy of Science Online
 

 

Membership Form

At this point we are unable to accept online payment associated with any forms on this site. However, for your convenience we have provided the forms so that you do not have to request them by mail. To use this form, fill it out by typing in the information while online, then print it, and mail it with your check payable to "Texas Academy of Science" to:

Dr. Fred Stevens
Executive Secretary
The Texas Academy of Science
CMB 6252
Schreiner University
Kerrville,  TX   78028

Phone:  (830) 792-7248
FAX:     (830) 792-7439
Email: fstevens@schreiner.edu

I hereby request membership in the Texas Academy of Science.
My Address and Pertinent Information is as follows.
 

Name

Last Name:  First Name:  Middle Initial: 


Contact Information

Mail
Home Address: 

Institution Address: 

Advisor Address (if applicable): 
 

Telephone and E-mail
Area Code:  Number:  Fax:  E-mail 


Dues and Membership Category:
This is a: 

Listed dues are for the calendar year beginning January of the current year.

Please select the appropriate membership category.

Contribution: 
AMOUNT REMITTED: 


Field(s) of Interest It is important that the Academy know your field(s) of interest. This will allow Section Chairs to contact you, and others with the same interests, and solicit papers of the section, or notify you of items of interest within the section. Please select your top three choices below.
 
 
First Interest: 
Second Interest:
Third Interest: