NOTE: Please print out form, fill in, and send in to headquarters.
MEMBERSHIP
The purpose of the Energy Minerals Division of the American Association of Petroleum Geologists is to advance the science of geology as it relates to any earth materials, other than conventional oil and gas, capable of being used for energy production, to provide a forum for addressing developments in mineral and energy economics and in fuels supply and utilization technology, and to promote the integration of geoscientific knowledge with related professions and activities. Review EMD Bylaws
Application for EMD membership is open to any AAPG MEMBER, but is not automatic with Association membership. YOU MUST BE A MEMBER OF AAPG TO JOIN EMD!
If you are interested in becoming a member, please return this form along with your dues payment. If you are not an AAPG member send this form in for an AAPG Application or download an application from the AAPG Web site.
Application
for Membership in the
ENERGY MINERALS DIVISION of the American Association of Petroleum Geologists
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Individuals from all classes of membership in AAPG are eligible for membership in the AAPG Energy Minerals Division. EMD operates on a fiscal year: July 1 - June 30.
EMD Dues (in addition to Annual AAPG dues):
$20 Member
$4 Student
The Executive Committee:
I have read and agree with the purposes of the AAPG Energy Minerals Division and hereby apply for membership. Enclosed is my payment (see below for options).
_______________________________________________________________
Signature AAPG Member #: ____________________
I am not an AAPG member but would like to consider joining, please forward an AAPG membership application form to the above address.
METHODS OF PAYMENT
1. Check or Draft
- drawn in U.S. Dollars on a bank located in the United States or Canada.
(Normally you can obtain such a check or draft from your local bank.)
2. Direct Bank Transfer
To arrange a bank transfer please contact AAPG directly at
+1 800 364 2274 (toll free, U.S. & Canada) or +1 918 584 2555.
3. International Postal Money Order; or
4. Credit Card (complete information below).
VISA (13 or 16 numbers)
MasterCard (16 numbers )
American Express (15 numbers)
Discover (16 numbers)
Diner's Club (14 numbers)
Card Account Number (include expiration month and year):
_______________________________________________________________
Card Expiration Month and Year:
_______________________________________________________________
Signature:
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Printed Name of Cardholder:
_______________________________________________________________
Return to:
AAPG/EMD
P.O. Box 979
Tulsa, Oklahoma 74101-0979, USA
Phone: (918) 560-2613, Fax: (918) 560-2694