Pinal Geology Museum and Society Membership Form

Pinal Geology and Mineral Society (PGMS) Membership Application

To Join, complete this application and submit, or print and mail, along with the required dues to Pinal Geology and Mineral Society, 351 N. Arizona Boulevard, Coolidge, AZ 85128 Or email to: pinalgeologymuseum@gmail.com
Junior (under 18) FREEAdult (18+) $12.00Family/Couple $20.00After Lapse?
New MemberRenewalRenewal After Lapse
Name*

First NameLast Name
Email
example@example.com
Yes, I am able to receive the email version of Society Newsletter
Other Family Members
Address (street)
Apt/Ste
City
State
Zipcode
General GeologyMineralogyLapidaryGemologyMeteoritesPaleontologyArcheologyOther (please indicate)Other
How did you learn about PGMS?
Pinal Geology and Mineral Society is a non-profit organization, dues and donations may be tax-deductible to the extent allowed by law. Please check our website pinalgeologymuseum.org to verify meeting information*

My Products

Individual Membership

Annual Membership

$12.00

Family Membership

Family Annual Membership

$20.00

Junior Membership

Free Junior (under 18) membership

$ Free

Additional Donation

Payment amount will only be added if you put a number in the box below.

$1.00 Amount

Total

$0.00

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