Membership Application
Yearly Membership Dues
Individual $10.
Family $15.
MSNEPA dues include membership in the Eastern Federation of Mineralogical and Lapidary Societies Inc., & the American Federation of Mineralogical Societies.
MEMBERSHIP RENEWAL It’s that time of year for renewing your club membership. Please remember that your membership entitles you to participate in all of our club fieldtrips and bus trips which members participate in at reduced rates. We are looking forward to our Annual Mineral Show in May, our picnic in July and Christmas party in December. We also have an annual auction held in March. We have some wonderful talks and presentations at many of our meetings as well as guest speakers.
The best part of your membership is the fellowship with like minded enthusiasts and the sharing of knowledge in the science and wonder of our great planet and all nature has provided for us. I hope to see all of you at future meetings and programs.
Please print out the application below & mail with your dues to:
Make checks payable to MSNEPA and mail to:
MSNEPA c/o George Walko 319 Main st Swoyersville PA 18704
The Mineralogical Society of Northeastern Pennsylvania, Inc.
Membership Application
I, herewith, apply for membership in The Mineralogical Society of Northeastern Pennsylvania (CLUB). I understand that membership dues are payable annually, with the membership year running from January 1st to December 31st.
SENIOR MEMBERSHIP $10.00 PER YEAR (18 yrs. or older)
FAMILY MEMBERSHIP $15.00 PER YEAR (per family)
Enclosed $_________________ for dues for 20__ (year) Make checks payable to MSNEPA
PLEASE PRINT THE FOLLOWING INFORMATION CLEARLY…
Nane______________________________________________________________________________________
Mailing Address_____________________________________________________________________________
City____________________________________________State___________Zip Code_____________________
Phone______________________________________________Cell_____________________________________
E-mail______________________________________________________________________________________
For a family membership, please provide names of the other family members (ages of children under 18).
If more than 4 members please add on back of form.
1) ___________________________________________ 3) __________________________________________
2) ___________________________________________4) ___________________________________________
If there is any club related interests you want our club to do please let us know.
__________________________________________________________________________________________
Please note: All members taking field trips sponsored by the CLUB, do so at their own risk.
Signature_______________________________________________________________Date________________
PLEASE RETURN THIS COMPLETED FORM (WITH DUES AMOUNT) TO THE ADDRESS BELOW OR AT THE NEXT CLUB MEETING.
MSNEPA
c/o DOREEN HOLDA
169 HOLLAND ST.
WILKES-BARRE, PA., 18702
MEMBERSHIP RENEWAL
It’s that time of year for renewing your club membership. Please remember that your membership entitles you to participate in all of our club fieldtrips and bus trips which members participate in at reduced rates. We are looking into having a bus trip to New York’s Museum of Natural History as well as some mini bus trips like the trip to Connecticut held in 2011 as well as our picnic in August and Christmas party in December. We also have an annual auction held in January. We have had some wonderful talks and presentations at many of our meetings as well as guest speakers in the past.
If you know of anyone who would like to become a member we are having a membership drive and are planning on a great prize for the member who recruits the most new members by April 1, 2013.
The Mineralogical Society of Northeastern Pennsylvania, Inc. Membership Application. I, herewith, apply for membership in The Mineralogical Society of Northeastern Pennsylvania (CLUB). I understand that membership dues are payable annually, with the membership year running from January 1st to December 31st. SENIOR MEMBERSHIP $10.00 PER YEAR (18 yrs. or older) FAMILY MEMBERSHIP $15.00 PER YEAR (per family)
Enclosed $_________________ for dues for 20__ (year)
Make checks payable to "MSNEPA" PLEASE PRINT THE FOLLOWING INFORMATION CLEARLY…
Membership Application
I, herewith, apply for membership in The Mineralogical Society of Northeastern Pennsylvania
(CLUB). I understand that membership dues are payable annually, with the membership year
running from January 1st to December 31st
SENIOR MEMBERSHIP $10.00 PER YEAR (18 yrs. or older)
FAMILY MEMBERSHIP $15.00 PER YEAR (per family)
Enclosed $_________________ for dues for 2015
Make checks payable to MSNEPA and mail to:
MSNEPA c/o George Walko 319 Main st Swoyersville PA 18704 Receipt of same will be acknowledged via email or phone.
PLEASE PRINT THE FOLLOWING INFORMATION CLEARLY...
*Name____________________________________________________________________________
*Mailing Address_____________________________________________________________
*City____________________________________________*State________*Zip Code________
Phone_____________________________________Cell_____________________(optional)
*E-mail_________________________________________________________________
For a family membership, please provide names of the other family members
(Please include ages for children under 18 only ).
If more than 4 members please add on back of form.
1) _______________________________age______
2) _______________________________age_______
3) _______________________________age ______
4) _______________________________age______
Please note: All members taking field trips sponsored by the CLUB, do so at their own risk.
Signature_______________________________________________________________Date__________
Questions & Info: Joe 570-883-2784
George: 570-200-5987
info@msnepa.org
joe88earth@gmail.com
anthracitecoin@gmail.com