Membership Information You have selected the Auto-Renew Family Membership membership level. The price for membership is $20.00 per Year. Account Information Username Password Show Password Confirm Password Hint: The password should be at least twelve characters long. To make it stronger, use upper and lower case letters, numbers, and symbols like ! " ? $ % ^ & ). Email Address Confirm Email Address Full Name LEAVE THIS BLANK Already have an account? Log in here Membership Information (Fields with an asterisk '*' after them are required.) First Name Last Name Phone Number Street Provide your street name and number and, if applicable, your apartment, condo, or suite number City State/Province/Prefecture Provide your state/province/prefecture; if you live in the U.S. or Canada, provide your two-letter state/province abbreviation. Country Zip/Postal Code Family Membership Total Number of Family Members for Membership 2 3 4 5 6 7 8 9 10 Select the total number of people to include in your family membership: yourself, a spouse or partner if applicable, and any children 21 or under. (Those 22 or older must purchase their own membership.) Spouse/Partner First Name If you wish to include your spouse or partner in your family membership, enter their first name here. Spouse/Partner Last Name If you wish to include your spouse or partner in your family membership, enter their last name here. Number of Children for Membership None 1 2 3 4 5 6 7 8 Select the number of children 21 or younger to include in the family membership. If no children are to be included, choose "None." List of Children Participating in Family Membership (Including name and year of birth) Enter the name and year of birth of any children 21 or younger to include in the family membership. Spouse/Partner or Child Email Address If you wish your spouse/partner or child who is in your family membership to receive club emails, enter their email address here. Provide only one email address. Spouse/Partner or Child Phone Number If you wish your spouse/partner or child who is in your family membership to serve as a backup for phone contact by the club, enter their phone number here. Provide only one phone number. Payment Type How Will You Pay? PayPal Credit Card Debit Card Pay by Check (This is for our records only. You'll make your payment using the yellow Check Out With PayPal button at the bottom. Note that if you're purchasing an Auto-Renew membership, you won't be able to pay by check.) Signature As a condition of membership, and in consideration of the valuable mineral collecting and other educational opportunities available to me as a club member, I hereby agree to hold the Club and its officers, Directors, committee members, and agents harmless, and to indemnify them against any loss and claims arising from my or my family’s participation in Club activities. I Agree Check Out With PayPal Processing...