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MEMBERSHIP RENEWAL FORM
Name of Organization / Business:
Name of Contact:
Mailing Address:
City:
State, Zip:
,
Email:
Phone:
Fax:
Web Site Address:
Membership Dues:
(Please Refer to Chart Below)
Voluntary Contribution:
($50 recommended)
Total Dues:
(Sum of Dues and Contribution)
MEMBERSHIP DUES BREAKDOWN
Number of Member Individuals
Rates
Fewer than 50
$100
51-100
$150
101-150
$275
151-200
$350
201-250
$500
More than 250
$600
© Copyright 2003-2005, California Council of Geoscience Organizations
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John A. Karachewski
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