Eastern States Rock Art Research Association

Membership Information Form

Name : ______________________________

Title: ______________________________

Institution/Organization/Company: ____________________________________________________________

Address: _________________________________________________________________________________

City, State, Zipcode: ________________________________________________________________________

Phone: ____________________________ email : ________________________________________

Rock art research is my: Profession Hobby

I research rock art in (name of state): __________________________________________________________

I research rock art in other states/countries including: ____________________________________________

_____________________________________________________________________________________

My major interest in rock art is: Visiting Recording Photography Drawing Mapping Analytical Report/Grant Writing

DUES PAID: $ _________________ DATE: _______________________ MEMBER SINCE: _____________ CODE: _______________________

Other: ___________________________________________________________________________

Please check one (or more) committee on which you would be willing to work:

Rock Art Education

Preservation/Conservation

Central Repository for Eastern Rock Art Data

Additional comments (use back, if needed):