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GSM Membership Application/Renewal

                 Membership year begins September 1
                   Questions? Call (612) 724-2101 or click the Contact tab on the GSMN home page

Name_______________________________________________________ Phone (h) _______________________ 

Address _____________________________________________________ Phone (w) ______________________ 

City________________________________________________ State ___ Zip ____________________________ 

Email Address__________________________________________________________________________________

Where did you get the GSM info or the stimulus that prompted your membership? __________________________________________ 

 


                    Membership:                                                                 Please mail to:
         Please make check payable to: GSM.
         Membership Levels:                                                 Geological Society of Minnesota
                                                                                          P.O. Box 141065
             ( ) Student     _____$10                                           Minneapolis, MN 55414-6055
             ( ) Individual  _____$20
             ( ) Family       _____$30
             ( ) Sustaining  _____$50
             ( ) Supporting _____$100
             ( ) Guarantor  _____$250

                                  _____ Membership fee (from above)

                                  _____ Media-library membership--add $15 one-time fee

                                  _____ Tax-deductible contribution (GSM is a 501(c)3 nonprofit educational organization)

                                  _____ Total included

                     


Thank you for your membership in the Geological Society of Minnesota.