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APPLICATION FOR MEMBERSHIP & DUES PAYMENT
2022-23 Membership Rates (subject to change): Regular ($35) or Student ($5)
Please complete and return this form with your membership dues. Please transfer funds via PayPal (add $2 if using credit card to cover our fees).
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Name
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Email (for meeting notices)
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Professional Affiliation
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Area(s) of Specialization
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Street Address
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City, State, Zip
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Phone
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Member of SEG (Society for Economic Geologists)?
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Member of AGU (American Geophysical Union)?
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Would you be interested in delivering a presentation?
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Do you have any suggested speakers or topics for future Society Talks?
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