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Application for DGS Membership

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Phone

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College/University *

Degree *

Major *

Graduation Date (Anticipated if Student) *

Second University (if applicable)

Second Degree (If applicable)

Second Major (if applicable)

Second Grad Date (if applicable)

AAPG Number (optional)

PG License State (Optional)

Addiotional Certificates

PG License Number (optional)

Select Memership Paymn Option *

Professional Membership - $35

Associate Membership - $35

Student Membership - $5

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Thank you for submitting your application!

dallas

GEOLOGICAL SOCIETY

webmaster@dgs.org

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4925 Greenville Avenue,

Suite #200

Dallas, Texas 75206

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