Slide/Program Request
Note: The requesting club must be a club in good standing with the SFMS
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Email *
Note: You do not have to have a Google account to use this form.
Club Name *
Please enter the full name of the club. For example, Georgia Mineral Society, not GMS
Your Name
*
Phone number
*
Mailing address *
This can be your club's mailing address or your personal address. This address will be used to mail the program.
Number and title of the program you want *
Use the information from the program index is on this page. For example, D138-IDENTIFYING MINERALS for the DVD or V138   IDENTIFYING MINERALS for the VHS.
Alternate 1
Number and title of an alternate program if the program you want is not available
Alternate 2
Number and title of an alternate program if the program you want is not available
Date the program is to be presented to your club
MM
/
DD
/
YYYY
Please return the program within 4 days after it has been presented at your club.
Return instructions are on the Slide/Video Program page
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