Tobacco Root Geological Society
Membership Application & Donation Form

This is not an online form - please print out and snail-mail to the address below.
To pay via PayPal, use the button below, be sure to specify that your remittance is for membership dues,
and please send an with your contact information as indicated below.


Official PayPal SealPlease be sure to indicate on the PayPal form that your remittance is for membership: $5 for students, $25 for others. The membership year is May 1 to May 1. Membership includes the guidebook issued for the Field Conference in that time period. A PayPal account is not required.
THANK YOU VERY MUCH!

The TRGS membership year is May 1 to May 1, so if you join in April you will get the previous year's Guidebook. If you register before May 1 in any year, but want to be a member for the following Field Conference, you need to specify that to us.

Name:________________________________________________________
Address 1:_____________________________________________________
Address 2: _____________________________________________________
College or University attending:____________________________________
Agency or Affiliation:_____________________________________________
City:_____________________________________
State:__________
Zip:________
Phone:__________________
Fax:____________________
E-mail:______________________________________
Most TRGS communications are via e-mail ( a few times per year ) so your email address is important.

Student 1-year membership - $5 ________

Professional 1-year membership - $25 _______

DONATIONS

To donate to scholarship funds via PayPal, please visit this page.

____ I am already a member and this form is being submitted with my donation to the following:

Total Donation: $ ___________________________
Specify allocation(s):

(1) TRGS Scholarship _____________

Please indicate: to grow the endowment _____ OR to add to spendable funds _____


(2) Harrison Scholarship _____

Please indicate: to grow the endowment _____ OR to add to spendable funds _____


(3) Foster Scholarship ______ (This is not an endowment, all contributions are spendable)


(4) Unrestricted _______
 

Make your check out to: The Tobacco Root Geological Society
and mail it to: P.O. Box 2734, Missoula, MT 59806

THANK YOU!