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 13947

Denver, CO 80201-3947