Gem & Mineral Club
Mineralogical Society of Northeastern Pennsylvania
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Gem & Mineral Show

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 into having 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 some wonderful talks and presentations at many of our meetings as well as guest speakers.

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, 2016. 

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: 

MSNEPA c/o DOREEN HOLDA 169 HOLLAND ST. WILKES-BARRE, PA., 18702 

Click here for printable version

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 Linda Williams 615 East Grant St. Olyphant PA 18447

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: Joseph Savokinas 570-883-2784

                     info@msnepa.org