Apply for Membership

Please submit an application for membership below:

Personal Information: 

*Full Name: 
A Name is required
*Email: 

An Email Address is required
Invalid Email Address
Address: 
City: 
State: 
Zip: 

Pleas enter a 5-digit zip code
Phone: 

Invalid Number (use: 000-000-0000)
Occupation: 

Additional Information:
Why do you wish to join? (~100 words):
 
If you have a Website, enter the URL here:
 

Invalid URL - (use http://xxx.yyy.zzz)
Areas Of Interest: 


Any meteorite Specialties?:

Activities & studies:


Other Interests: 

 
 
 

Other Organizations: 

 
 
 


*I am interested in the following membership type: 

Individual Membership:   $25.00 Annual   $200.00 Lifetime
Family Membership:   $40.00 Annual   $320.00 Lifetime
Student Membership:   $10.00 Annual  



* These fields are required!

Send payment by check or money order to:
Meteorite Association of Georgia
C/O Wayne Dodd, Treasurer
10495 Stonefield Landing
Duluth, GA 30097

Annual membership dues are payable every January 1st
Student membership requires copy of valid student ID

Back to top