FRIENDS OF MINERALOGY

APPLICATION FOR MEMBERSHIP/MEMBER DATA SHEET

Please print this application and mail to the address listed below:




Name     _____________________________________________________________________________
         Last                             First                      Middle Initial


Address  _____________________________________________________________________________
         Street                                                      City or Town

         _____________________________________________________________________________
         State of Province                Country                    Zip/Postal Code


Telephone Number  ______________________(Home)  ______________________________(Office)

FAX Number        ______________________    E-mail address ___________________________


Chapter Affiliation  ___________________


Signature  ________________________________________________  Date  ___________________



Friends of Mineralogy, Inc. is composed of the members of 6 local chapters, plus national members not affiliated with a chapter. Prospective national members should send their application and $15.00/year dues to Lorraine Wright, 1505 S. Randolph, Indianapolis, IN 46203-2940.

Prospective members of a chapter may submit it directly to the chapter (Colorado, Great Basin, Midwest, Pacific Northwest, Pennsylvania, or Southern California), or send it to Roland Bounds who will forward it to the appropriate chapter. You will be billed for your chapter dues, since they vary with individual chapters.









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Last Updated: 1 May 1999
URL: http://www.indiana.edu/~minerals/application.html
Comments? Please contact  shaffern@indiana.edu