SGS Membership Form Thank you for your interest in the Shropshire Geological Society Please fill in this form, print it out and send it to: David H Smith 25 Grange Road Shrewsbury Shropshire SY3 9DG If you fold your printed A4 sheet in thirds this address should show in the window of a standard C6 envelope I/we wish to apply for membership of the Shropshire Geological Society as (please tick the appropriate box). All memberships last for 12 months from receipt of payment. Membership Category Full Year Ordinary Member GBP 18 Family Member GBP 21 Student Member GBP 7 Institutional Member GBP 19 Name: Address: Telephone:   Email:  Please enclose a cheque for the appropriate amount payable to 'Shropshire Geological Society'.