I wish to apply for full(full time student)membership of the Dorset GA Group.  I enclose subs of £10.00(£7.50).  Please make cheques out to 'Dorset GA'.

Signed:                                                           Date:

Name and Address(block capitals please)                      Telephone: (including code)

I am/am not* a paid up member of the GA(*delete where necessary)

What aspect of geology interests you?(please tick as many as you care to)

Igneous rocks                                                           Sedimentary rocks

Palaeontology                                                          Tectonics

Environment                                                             Structural geology

Palaeobiology                                                          Geomorphology

Economic Resources                                              Astronomy

Any Other(please specify)

Your personal details given on this form will be held in a computer system which will be used for administrative purposes.  The details will be included in the name and address list distributed to all members to encourage interaction between like minds unless you instruct otherwise.

Please send the completed form with your subscription to the Hon Treasurer:

Mr Mike Bowler 32 Durdells Avenue Bear Cross Bournemouth BH11 9EH

Membership Application Form

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Queries?