MEMBERSHIP APPLICATION
FORM
(edit and print with your browser)
I
would like to become a member of the Society for Geology Applied
to Mineral Deposits and to receive my personal copy of Mineralium
Deposita. Membership fees will be due after acceptance of the
membership application by the SGA Council.
Signature
................................................... Place and
date
................................................................
(if
you do not intend to pay by credit card, an invoice will be issued
after acceptance of your application)
Two
SGA Sponsors*:
Name
Place
Date
Signature
1.
______________________________________________________________________________
2.
______________________________________________________________________________
*If you have difficulty in finding sponsors, send
this form to the Executive Secretary and your application will still
be considered.
Send the Membership Application Form to: |
|
|
Dr. Jan Pasava |
|
|
SGA Executive Secretary |
|
|
Czech Geological Survey |
phone: |
++(420)-2-51085506 |
Klárov 131/3 |
fax: |
++(420)-2-51818748 |
CZ-118 21 Praha 1 |
e-mail: |
|
CZECH REPUBLIC |
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