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The PROCTOR MUSEUM
of NATURAL SCIENCE
MEMBERSHIP APPLICATION FORM

Thank you for considering membership in the
PROCTOR MUSEUM OF NATURAL SCIENCE, INC.
"a Texas not for profit corporation"

Here is your application. Please fill out and submit by either eMail to auraman@swbell.net;
or by MAIL to PROCTOR MUSEUM OF NATURAL SCIENCE
630 UVALDE ROAD, HOUSTON, TEXAS 77015-3766;
or by FAX to (713) 453-3232.


Your Application is on this page, but if you wish to use PAYPAL,
you need to CLICK HERE to return to the Gift Shop Page.



The PROCTOR MUSEUM OF NATURAL SCIENCE

"TO COLLECT, PRESERVE, STUDY, DISPLAY AND EDUCATE OTHERS ON THE
NATURAL HISTORY OF THE EARTH, MAN, THE SOLAR SYSTEM AND THE UNIVERSE"

"A Texas Not for profit Corporation"

GLENDALE MEDIATION CENTER
630 UVALDE ROAD
HOUSTON, TEXAS 77015-3766

T. W. PROCTOR, J.D.  Phone  713-453-8363
Curator & Board Chairman FAX 713-453-3232

MEMBERSHIP APPLICATION

(Please fill out both front and back pages and return with your dues)
(you may FAX your application in and send your payment by mail or PayPal)

Full name: (Dr./Mr./Ms./Mrs._____________________________________________________________

Add any Degree or suffix, such as: M.D., J.D., PhD. _____________________

Res. address: ________________________________________________________________________

City, State Zip_______________________________
_________________________________________

Res. phone: ________________________________ Cell phone: ________________________________

Bus. address:_________________________________________________________________________

City, State Zip_______________________________
__________________________________________

Employer:___________________________________________________________________________

Bus. phone ________________________________ Bus. Cell phone______________________________

Position/Title:_________________________________________________________________________

FAX # ______________________________ Other: _________________________________________

eMail address:_______________________________________________________________________________

Other contact: _______________________________________________________________________________

Have a web site? ____________________________________________________________________________

Your academic background:[Degree(s) /School(s) /year(s) / areas of expertise]:

__________________________________________________________________________________________________________

_________________________________________________________________________________________________

ANNUAL DUES: (please check appropriate membership, which you are applying for & enclose payment with
your application. Membership may be denied where the applicant's goals are not those of the PMNS,
in which case your dues will be refunded and membership canceled when that becomes known.)

[DUES are for the PMNS fiscal year of April 1 to March 31]
To PAY your dues, CLICK HERE, to go to the Gift Shop. Then click on the PAYPAL symbol below the
membership which is the appropriate dues OR you may mail your payment as shown on the Gift Shop page.
Please copy your membership Application and eMail it, or print it out and Mail or FAX it
to the PMNS in order to tie in your dues payment with your Application. Thank you
.

REGULAR MEMBERSHIP------------dues are $15/year

FAMILY MEMBERSHIP-------------dues are $25/year

SUSTAINING MEMBERSHIP---------dues are $50 or more/year (whether individual or family & including all children)

BENEFACTOR MEMBERSHIP---------dues are $100 or more/year (whether individual or family & including all children)

CORPORATE BENEFACTOR----------dues are $250 or more/year

ADDITIONAL DONATION of $______________ in addition to dues above

MY COMPANY HAS A MATCHING PROGRAM check with me on details

ALL APPLICANTS, PLEASE DATE AND SIGN:

PLEASE ENROLL ME as a member of the Proctor Museum of Natural Science, in the category as shown above. I represent that I agree with the goals and Charter of the Proctor Museum of Natural Science, Inc. (a Texas not for profit corporation--whose charter and goals are set out in this web site on the "ABOUT THE MUSEUM" page)


Date:________________________ Signature:_________________________________


PLEASE TELL US ABOUT YOURSELF on the back of this page (and additional pages). It will assist us to know more about your talents, abilities and what information to supply you in areas which you may be most interested.

What professional groups, civic groups, cultural and/or ethnic groups, and other associations are you affiliated with? (Include any office held, past or present).



Do you have any special areas of interest and/or expertise, in natural history, science, art, gardening, forestry, photography, recycling, finance, lapidary, teaching, or other related areas to the Museum's goals and endeavors?



PLEASE CHECK ALL INTERESTS WHICH YOU MAY HAVE IN THE FOLLOWING CATEGORIES:



Field Trips & Expeditions (planning trips to collect gems, minerals, rocks and fossils; photo opportunities; bird watching; serious expeditions; etc.)



Botanical Garden (working on the creation of a Botanical Garden & Arboretum; doing landscaping; tree planting programs; beautification of the North Channel Area, Baytown Area & Northeast Harris County)



Museum Associate Curator (Collecting, identifying and working on displays for the Museum; research and preparation of the displays including identification of specimens; other curator work; etc.)



Trails establishment & maintenance (Obtaining land for nature, bird watching sites, bicycle & jogging trails; building trails and sites; maintaining the trails and sites; preparation of identification plates for trees and shrubs; publicizing the trails; etc.)



Environmental (Working to improve the environment and make the public conscious of recycling; of need for clean air and clean water; wise use of the land; energy conservation; composting; reduction of use of non-renewable materials; etc.)



Publications (Creation of publications for the membership and general public on science, environment, trips and expeditions, natural history and other related areas and items)



Library (Working toward creation of a Scientific Technical Research Library in the North Channel Area for use by the public and by scientific researchers; acquisition of books & materials; acquisition of a site for the Library)



Public Relations (Doing public relations work for the Natural History Scientific not for profit Corporation; promote the work of the other sections)



Finance (Raise the funds for the operation of the "tax exempt" "Not for profit Corporation and its many programs)

Programs & Seminars (Provide the programs for meetings and special seminars on certain areas of natural science and things of interest to the membership)



Gem, Mineral & Paleo (For those interested in collecting gems & minerals; polishing gemstones & faceting; jewelry making; fossil hunting; etc.)



Web site maintenance and authorship of articles, photos and other.

Use this space for additional information or comments:





If you wish to print out your application form to send it by eMail, Mail or FAX, block it with your mouse, then right click on "copy" and you can then paste it onto your word processing software program, or to the Word Pad. If the form doesn't quite fit, don't worry, we can probably figure it out all right anyhow.


THANK YOU for joining the PROCTOR MUSEUM OF NATURAL SCIENCE. Give our our web site as a reference to all interested persons, including to:ROCKHOUNDS, Shell hunters; earth science teachers; geologists; archaeologists; paleontologists; botanists; conchologists; and all the other "ologists" as well as and anyone else who can benefit from using this web site, whether a member or not.