PLEASE PRINT AND MAIL THIS FORM (choose "Print" from the "File" menu)
Please print or type your name(s), address, phone number and
information to be printed in the Membership Directory and for
addressing your MAPS Digest.
NAME(S): _________________________________________________________
ADDRESS: __________________________________
__________________________________
__________________________________
TELEPHONE: (_____)-____-______ FAX: (_____)-____-______
EMAIL: ____________________________________
Occupation: ______________________________________________________
Major area of interest: __________________________________________
Will you trade? ___________
Have for trade: __________________________________________________
__________________________________________________________________
If a member of another fossil club, please give name of club,
city, and state:
__________________________________________________________________
Why do you want to become a member of MAPS? ______________________
__________________________________________________________________
Membership Requirements:
Have a sincere interest in fossils, their collection, preparation,
study, and display. Membership is for one year. It includes nine
issues of MAPS DIGEST and a Membership Directory. Please check type
of membership and remit accordingly. (Make checks payable to M.A.P.S.)
____ U.S./Canada Household: $20
____ Library/Institution: $25
____ Overseas - Surface Mail: $20 U.S.
____ Overseas - Air Mail: $30 U.S.
__________________________________________ Date: __/__/__
Signature
Print and mail this form MAPS
along with your dues Sharon Sonnleitner, Treasurer
to this address: 4800 Sunset Drive S.W.
Cedar Rapids, Iowa 52404
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