ONLINE MEMBERSHIP APPLICATION

For any questions, contact Membership@renogms.org

*You must agree with the RENO GEM & MINERAL SOCIETY, INC.'s RELEASE OF LIABILITY AND WAIVER OF CLAIMS in order to proceed with Membership.

*Once you press the SUBMIT button, you will see a link to purchase the membership.

Membership Status *

• New Membership
• Renewal Membership

Membership Payment *

• Student Membership (with valid student ID) - $13.00
• Individual Membership - $18.00
• Family Membership - $25.00
• Membership Upgrade: Individual to Family (Must have Active Individual Membership) - $15.00

CONGLOMERATE: MONTHLY NEWSLETTER will be emailed free of charge with your membership.

Do you agree with the RENO GEM & MINERAL SOCIETY, INC.'s RELEASE OF LIABILITY AND WAIVER OF CLAIMS? *

• I agree with the RENO GEM & MINERAL SOCIETY, INC.'s RELEASE OF LIABILITY AND WAIVER OF CLAIMS

NAME *

First

Last

ADDRESS *

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Address Line 2

City

--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

PHONE NUMBER *

EMAIL ADDRESS *

Email

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We exist due to the generosity of our volunteers. Please list any skills or talents you have that you might be willing to volunteer for the Society.

If applying for Family Membership, please include family member names and age, if under 18 years of age.

Additional Emails (For Family Members) 1

Additional Emails (For Family Members) 2

How did you hear about us?

Badge (optional)

• Purchase Badge - $10.00

*You can purchase badges at any time as a member

Name on Badge

Total

$0.00

Stripe Credit Card *

Card

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