Copyright Treasure Coast Rock and Gem Society. All rights reserved.


                                                                                                                 Treasure Coast Rock & Gem Society

                                                    Membership Application

Mail to: Treasure Coast Rock& Gem Society

                Attn: Treasurer
                 PO Box 531                            
                Vero Beach, FL 32961

 

Please pay your annual membership dues   by January 5 each year.

Memberships are effective from January to December and are not prorated.

Club meetings are held on the 2nd Thursday of the month, at 7PM from September through May,  

Sept to Dec 2017 we meet at

St Augustine Of Canterbury Episcopal Church, 475 43rd Ave, Vero Beach, FL 32968.


Membership Type:     [   ] $20.00 Individual Membership

                                       [   ] $30.00 Couple Membership

                                       [   ] $ 5.00 per Junior Members (12- 18)

                                                                                                                    

Names: _____________________________________________________________     ________________

               _____________________________________________________________     ________________

               _____________________________________________________________     ________________

               _____________________________________________________________     ________________

               _____________________________________________________________     ________________

               _____________________________________________________________     ________________

Address: _______________________________________________________________________________   Alternate: ____________________________________________________________________________

                 _______________________________________________________________________________                      ___________________________________________________________________________

Phone: HM: _____________________________________________________   Cell: ___________________________________________________________

Newsletters are delivered electronically. This is our means of communication. If you choose to receive printed communications, delivery will be delayed several days. All TCRGS communications (including newsletters) will only be sent to one contact on this application.

[   ] Email: ______________________________________________________________________________________ [   ] Unable to receive electronic communications- printed newsletter requested.

[   ] Please include me in Membership Directory. (Only for members to contact each other.) Areas of Interest:

[   ] Rock Collecting
[   ] Rock Identification
[   ] Field Trips-Rockhounding
[   ] Junior Activities
[   ] Fossils
[   ] Beading
[   ] Wire Wrapping
[   ] Chainmaille
[   ] Lapidary-cabbing, slabbing
[   ] Faceting
[   ] Silver smithing
[   ] Casting
[   ] Other _______

Do you feel qualified to teach or help in some way with a class? Yes _________  No _________

If Yes, please indicate interest: ______________________________________________________________________

For our club success, all members are encouraged to participate in club activities. 

Please indicate what your interests are:

[   ]Board    [   ]Show    [   ]Field Trips    [   ]Teaching    [   ]Refreshments    [   ]Equipment/Workshop    [   ] ____________

This section for TCRGS use:

Membership Year: 20_______    Paid: $_____________Cash/Check#___________________         Date received: ________________ By: ______________________Type your paragraph here.