Print and mail to address below:

MEMBERSHIP APPLICATION

DATE________________________________

NAME_________________________________________________Spouse_____________________

ADDRESS____________________________CITY___________________ST________ZIP________

TEL# ________________________________EMAIL:______________________________________

Have you every belonged to a rock club? YES____ NO____ If So, where?_____________________

Did you serve as an officer or a committee member? Yes___No___, but I would like to._____

Which of the following activities interest you the most ?

_____Rock hunting field trips to collect rocks, crystals, minerals and fossils.

_____Lapidary, The cutting and polishing of rocks into cabochons, spheres and eggs.

_____Faceting gem material.

_____Silver jewelry, design and fabrication.

_____Rock tumbling, Making polished rocks and gemstones for many uses.

_____Wire wrapping & weaving, The art of capturing stones to make jewelry.

_____Bead making and stringing of beads into necklaces, earrings, & other jewelry.

_____Carving of stone, or wax carving and casting in metal.

_____Using club workshop.

_____Metal detecting.

_____Mineralogy & Geology studies and activities.

_____Involvement in the annual Gem and Mineral Show.

(EVERYONE IS ENCOURAGED TO PARTICIPATE IN THIS CATEGORY)

I am interested in taking a class offered in:

_____Lapidary – Cutting and polishing rocks and gems

_____Faceting – Creating gemstones for settings

_____Wire wrapping – Capturing stones for pendants and other jewelry

_____Wire weaving – The art of wire jewelry

_____Beading – Making necklaces, bracelets and other jewelry

_____Silversmithing –Design and fabrication with silver

_____Tumbling – vibratory and rotary – polishing stones

_____Metal Detecting

_____Opal Triplets

_____Use of GPS equipment

_____Use of Club Workshop – Learn the lapidary arts

_____Other interests?  We will try to provide instruction. _______________________________________

________________________________________________________________________________________

Would you be interested in teaching in the area of your expertise?  Please specify.

________________________________________________________________________________________

To join, please write your check to:

MINGUS GEM AND MINERAL CLUB

and mail to

Membership Director

P.O.Box 1284

Cottonwood  AZ  86326

Or pay dues at next meeting.

Dues first year: Single $12.00  Couple $24.00

(Badges included)

Dues year:  Jan 1st thru Dec 31st