MEMBERSHIP FORM

Fields marked with * are required.


Membership is:

Renewal*
New
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When did you first join NABGG?   

Personal Data

Name

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Street Address

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Address (cont.)

City

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State/Province

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Zip/Postal Code

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Country

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Work Phone

Home Phone

E-mail

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Billing Information

Street Address

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Address (cont.)

City

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State/Province

Zip/Postal Code

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Country

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Work Information

Title

Organization

Work Phone

FAX

E-mail

URL

Education Information

First Name

Last Name

Middle Initial

Title

Work Experience


Area of Interest

Education              Environmental Geology    
Government           Gulf Coast E&P (Onshore/Offshore)  
International E&P   North America E&P (other than GoM)  
Other                                          
 

Other Society Memberships

AAPG   AGU    
GSA     SEG  
SEPG   Other  

List Other (s):

 

Membership Category Information

Professional
Associate
Emeritus
Teacher
Student

Annual Membership Dues

$50 Professional
$50 Associate
$25 Teacher/Emeritus
$10 Associate Member (Undergraduate/Graduate Students)

Contribution (Please enter amount) $      Thank you.

 

 

Please send your check for 

$50.00 Professional, $50.00 Associate, $25 Teacher/Emeritus and $10 Student to

4212 San Felipe, Suite 420, Houston, Texas 77027-2902

Attention: Membership Committee

payable to NABGG

or 

click here to pay here online  ... remember to submit your membership application form

 

 


       

Revised: September 14, 2005