Palaeontological Society of the Peace

Application for membership

Membership applies to the calendar year, January 1^st through to December 31^st

Name _________________________________________________________________

Street _________________________________________________________________

City ________________________________________  Province  _________________

Postal code________________________            Telephone (      ) _______________

Email _________________________________________________________________

 Occupation ________________________________________________________________________

Do you hold membership in any clubs, groups or professional societies related to geology or paleontology? 

Please List:_____________________________________________________________________

_____________________________________________________________________________

What are your interests?  __________________________________________________________________

_______________________________________________________________________________________

What do you wish to learn more about? ______________________________________________________

_______________________________________________________________________________________

The undersigned hereby applies for membership in the Society and, if elected to membership,
agrees to abide by the by-laws and regulations of the Society.

Signature ______________________________________   Date______________________________

Enclose Cheque or Money Order           $ _____________________ Single $20.00

(Please no NOT send cash through the mail)   $ _____________________ Family or Institution $30.00

Make cheque payable to:            Palaeontological Society of the Peace

Mail application form with payment to:

                                                Palaeontological Society of the Peace

c/o Grande Prairie Regional College

10726 - 106 Ave, Grande Prairie  AB  T8V 4C4