TCGMC Membership Form 2024

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Tulip City Gem and Mineral Club 2024 Registration

General Meeting:
Last Wednesday each Month
7:00pm
Howard Miller Public Library

14 S Church St, Zeeland, MI 49464

Email *

Membership Type*

Individual -$15.00

Family- $20.00 (Includes parent/guardian and all unmarried children under the age of 17 and living at home

Payment Type *

If paying by check mail to: Please remit payment payable to TCGMC and mail to Rhonda Gehringer 1980 Driftwood Dr. Holland MI 49424

Cash

Check

Required

Today's Date *

YYYY

Last Name *

First Name *

Spouse's First Name (if family membership)

Address:

Street Address, City, State, Zip code

Phone number (primary) *

Spouse's Phone number

Email Address (secondary)

If this is a family membership, how many children will be joining?

Clear selection

If this is a family membership, please list participating children('s) name(s) and birthday(s).

What are your main interests in joining our club?

Archaeology

Beading

Faceting

Field Trips

Fossils

Geology

Lapidary

Metal Craft

Minerals

Polishing

Rock Collecting

Wire Wrap

Youth Activites

Required

TCGMC PRIVACY POLICY: For purposes of planning field trips and other TCGMC Social activities, the club will annually distribute a listing of member names, addresses, telephone numbers and email addresses to all club members. The TCGMC officers will never knowingly distribute your address information to any other group or organization.*

I Acknowledge

Required

IMPORTANT NOTE: We must have a SIGNED copy of your application/renewal form on file.As a condition of membership, and in consideration of any mineral collecting, use of facilities , equipment and other educational opportunities available to me as a club member, I hereby agree to hold the Club and its officers, Directors, committee members and agents harmless, and to indemnify them against any loss and claims arising from me or my family’s participation in Club activities:
*

I Acknowledge

Required

Term of Membership and Dues. TCGMC memberships run January – December.NEW members joining after October 1st will have their dues credited through the end of the following year. Membership Renewals must be renewed by December 31st to be in good standing.
*

I Acknowledge

Required

Adult Signature*

(please type name below, this counts as your official signature)

I acknowledge that the above counts as my official signature.
*

I Acknowledge

Required

A copy of your responses will be emailed to the address you provided.

Submit

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