SGS Membership Form

Thank you for your interest in the Shropshire Geological Society

Please fill in this form, print it out and send it to:

Martin Carruthers
The Oakes, Foxholes
Wem
Shropshire
SY4 5UJ

If you fold your printed A4 sheet in thirds this address should show in the window of a standard C6 envelope

I/we wish to apply for membership of the Shropshire Geological Society as (please tick the appropriate box).
All memberships renew on 1st January.

Membership Category

Full Year

Joining between 1st June and 31st October

Joining after 1st November includes subscription for following Year

Ordinary Member

GBP 18

GBP 9

GBP 18

Family Member

GBP 21

GBP 11

GBP 21

Student Member

GBP 7

GBP 4

GBP 7

Institutional Member*

GBP 21

GBP 11

GBP 21

* Institutional membership allows one nominated individual to bring up to 4 others to an event, subject to booking for field trips.

Name:

Address:

Telephone:  

Email: 

Please send a cheque to the above address for the appropriate amount payable to 'Shropshire Geological Society'.

It would help the Society if you could also complete a Gift Aid form, a copy of which can be downloaded by clicking here.