EAST TENNESSEE GEOLOGICAL SOCIETY

ETGS Membership Information

PLEASE COMPLETE AS FULLY AS POSSIBLE!
pdf versions: download, print and use pen  -or-  download, fill out with computer, and print

 

Single Membership
or Primary Member (for Couples) 		Couple Membership
Second Member with Same Home Address
Member Name

____________________

 Member Name ____________________
Position/Title

____________________

 Position/Title ____________________
Organization ____________________ Organization ____________________
Address ____________________ Address ____________________
Address ____________________ Address ____________________
City, State, Zip ____________________ City, State, Zip ____________________
Office Phone ____________________ Office Phone ____________________
Office Fax ____________________ Office Fax ____________________
Primary E-Mail ____________________ Primary E-Mail ____________________
Alternate E-Mail ____________________ Alternate E-Mail ____________________
Home Address ____________________    
City, State, Zip ____________________    
Home Phone ____________________    


 Please note that ETGS will be waiving membership fees through the 2021 calendar year in recognition that COVID-19 is impacting our meetings, and because we do not anticipate as many expenses (meeting rooms, field trips, etc). ETGS would encourage members to invite friends and colleagues to take advantage of this rare occasion.  

Membership Category  
  _____ single ($20)    
  _____ couple ($25)    
  _____ student ($10)    

Please bring completed form and check (payable to ETGS) to the next meeting, or mail them to

East Tennessee Geological Society
Post Office Box 6193
Oak Ridge, Tennessee 37831-6193

Revised January 2012

 

Page updated November 20, 2020