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NOTE: Please print out form, fill in, and send to headquarters.
The Division of Environmental Geosciences members include environmental specialists, consultants, major and independent oil company employees, public sector employees, students and other interested individuals inside and outside of the energy industry.
Application for DEG membership is open to any AAPG MEMBER, but is not automatic with Association membership. YOU MUST BE A MEMBER OF AAPG TO JOIN DEG!
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
DIVISION OF ENVIRONMENTAL GEOSCIENCES of the American Association of
Petroleum Geologists
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Ms.
Mr. Dr.
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Address1
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Address2
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City,
State Zip/Postal code
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Phone
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Individuals from all classes of membership in AAPG are eligible for membership in the AAPG Division of Environmental Geosciences. DEG operates on a fiscal year: July 1 - June 30. Annual membership dues listed below include $28 for a one-year subscription to Environmental Geosciences.
DEG Dues (in addition to Annual AAPG dues):
$45 Member (including DEG journal)
$55 Member (mailing address outside North America)
$25 Student (Includes Environmental Geosciences DEG journal online)
The Executive Committee:
I have read and agree with the purposes of the AAPG Division of Environmental Geosciences and hereby apply for membership. Enclosed is my payment (see below for options).
_______________________________________________________________
Signature AAPG Member #: ____________________
IMPORTANT - YOU MUST BE A MEMBER OF AAPG
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):
_______________________________________________________________
Signature:
_______________________________________________________________
Printed Name of Cardholder:
_______________________________________________________________
Return to:
AAPG/DEG
P.O. Box 979
Tulsa, Oklahoma 74101-0979, USA
Phone: (918) 584-2555, Fax: (918) 560-2652 (accounting department)