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Peninsula Gem & Geology Society
Membership Application

Click Here for Electronic Payment

Click Here for Printable PDF

Membership is by calendar year. Membership Dues are $25.00 for a Single Membership; $40.00 for a Family Membership. Click on the Electronic Payment link above to join using PayPal. Click on the PDF link above for a paper form or just print this page. To pay by check, make it out to PGGS (U.S. funds only) and bring to a meeting or mail it to:

PGGS
P.O. Box 4062
Los Altos, CA 94024-0062

New_____    Renewal_____

Names___________________________________________________

Street____________________________________________________

City______________________________ State_____ Zip___________

Best Phone Contact______________________

Email___________________________________

Please Check Type Of Membership Desired
Single: $25.00 [  ] Family: $40.00 [  ]
Family membership includes everyone who lives in the same household who will share a newsletter.

Principle Interests:
Geology[  ]   Minerals[  ]   Fossils[  ]   Field Trips[  ]   Lapidary[  ]

I can help the club with:
Refreshments[  ]   Programs[  ]   Show[  ]   Publicity[  ]   Workshops[  ]