Rocky Mountain Section—Society of Economic Paleontologists and Mineralogists

 

MEMBERSHIP APPLICATION AND RENEWAL

 

Membership renewal fees are due at the beginning of each calendar year.

 

PLEASE USE THIS FORM FOR MEMBERSHIP APPLICATION, MEMBERSHIP RENEWAL, AND ADDRESS CORRECTIONS AND CHANGES

 

Check appropriate: APPLICATION___   RENEWAL___   ADDRESS CHANGE____

 

_________________________________  ________________________  _____

Last Name                                            First Name                           Initial

____________________________________________________  ______________________

Company Name or University Department                               Daytime phone

______________________________________________________________________________

Mailing Address

 

____________________________________________________________________________

City State Zip

____________________________________

e-mail address

 

Are you a member or associate member of the National SEPM? Yes___ No___

 

Dues: Regular Member - $10.00/yr __________

 

Student Member $8.00/yr  __________

 

Lifetime Member $75.00  __________

 

Tax-deductible Contributions: Edwin McKee Memorial Fund (Rky Mtn Stratigraphy Scholarship) $ _____

 

Donald L. Smith Memorial Fund (Research Grants) $ _______

 

TOTAL ______________

 

Please send the completed form and your check [payable to RMS-SEPM] to:

Membership Committee, RMS-SEPM

P.O. Box 13828

Denver, CO 80201