Membership Form | Southern Nevada Gem and Mineral Society

Membership Information

Application Type

New Membership

Renewal

Membership Type

Individual

Family

Street Address

City

State

ZIP

Printed Newsletter (Extra Charge)

Primary Member (Person Responsible for This Membership)

Primary First Name

Primary Last Name

Primary Email

Primary Phone #

Primary Birth Month

To use LEC, take classes, or participate in field trips you must accept the waiver

Liability Form Accepted by Primary Member?

Add me to the SNGMS email mailing list for club announcements and newsletters. I understand I can unsubscribe at any time.

Yes

No Thanks

Southern Nevada Gem & Mineral Society