Membership Application
Type of Membership
  Student $ 20
  Senior $ 20
  Individual $ 25
  Family $ 35
  Supporting $ 50
  Life $ 200
Contribution
  Renewal

Name:  

Address:    

City:
State:
Zipcode:

Telephone:    

E-mail address:  

Print this form on your printer and mail with a check for the type of membership to:

Mt. San Jacinto Natural History Association | P.O. Box 1424 | Palm Springs CA 92263-1424


Or to make payment online select from drop down menu below.

New Membership
Membership Renewal


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