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Rocky Mountain Section<br>
Society of Economic Paleontologists<br>
and Mineralogists<br>
P.O. Box 13947<br>
Denver, CO 80201-3947<br>
Rocky Mountain Section—Society of Economic Paleontologists and Mineralogists<br>
MEMBERSHIP APPLICATION AND RENEWAL<br>
Membership renewal fees are due at the beginning of each calendar year.<br>
PLEASE USE THIS FORM FOR MEMBERSHIP APPLICATION, MEMBERSHIP RENEWAL, AND ADDRESS CORRECTIONS AND CHANGES<br>
Check appropriate box(es): APPLICATION RENEWAL ADDRESS CHANGE<br>
____________________________________________ _________________________ _________<br>
Last Name First Name Initial<br>
_______________________________________________________________________ ___________________<br>
Company Name or University Department Daytime phone<br>
_______________________________________________________________________ ___________________<br>
Mailing Address (Please provide correct address where newsletter should be sent.) e-mail address<br>
_____________________________________________________________________________________________<br>
City State Zip<br>
Are you a member or associate member of the National SEPM? Yes No<br>
Dues: Regular Member - $10.00/yr; Student Member $8.00/yr<br>
Tax-deductible Contributions: Edwin McKee Memorial Fund (Rky Mtn Stratigraphy Scholarship) $ _______<br>
Donald L. Smith Memorial Fund (Research Grants) $ _______<br>
Please send the completed form and your check [payable to RMS-SEPM] to:<br>
Membership Committee, RMS-SEPM, P.O. Box 13947, Denver, CO 80201-3947<br>
I prefer to receive my copy of the Newsletter by e-mail or by snail mail .<br>
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