For membership information contact Johnnie Wanger at (903) 535-9887 or simply email us at jwanger@sbcglobal.net
Please print this page, fill out the information requested and mail with your Annual Membership Fee.
APPLICATION FOR
MEMBERSHIP
Name:______________________ Date: ________________________
Employer:________________________________________________
Preferred Mailing Address: (__) Business (__) Home
Business Address___________________________________________
_____________________________________________________
_____________________________________________________
Home
Address________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Business
Phone:_______________________________________________________________
Home
Phone:__________________________________________________________________
Fax:_________________________________________________
E-mail address:_________________________________________
Please send your check for
$25.00 annual dues made payable to the
East Texas Geological Society,
102 North College, #612
Tyler, Texas 75702
