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Geological Society of the Oregon Country |
Name________________________________________________ Spouse____________________________
Children under age 18______________________________________________________
Address __________________________________________ City _____________ State ___ Zip_______-_____
Phone (_____)_____-__________ Email address__________________________
Geologic Interests and Hobbies_______________________________________________________
_______________________________________________________________________________
Please indicate Membership type and include check for appropriate amount.
Individual $25.00 ___________ Family $35.00 ____________ Student $15.00 _____________
Make Check Payable to: The Geological Society of the Oregon
Country
PO Box 907
Portland, OR
97207
Click here to return to the GSOC Home Page.