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Surname.................................................. Mr/Mrs/Ms/Miss/Dr

First names..............................................

Additional family members...........................................................

(please indicate age if under 16)

Address:......................................................

.....................................................

..................................................... Postcode.........................

Tel.No...............................FAX...............................Email...........................

Do you belong to any other geology/mineral-orientated Society? Yes/No

If yes, please specify .................................................................................

Areas of interest or experience: Minerals � Lapidary � Fossils � Geology � (please tick)

How many years' experience: some � virtually none �

Please send your completed form with your cheque made out to "SMLS" to the secretary:

Dr Colin Brough, 1 William Allen Lane, Lindfield, West Sussex, RH16 2SA

Queries: Tel: 01444 483041 or Email Colin Brough

Subscriptions are due on 1^st Aug each year:

First family member £13.00 p.a.,

Second member of family £11.00 p.a

Students (under 21) £6.50p.a.

Associate members (living over 60 miles from Haywards Heath) £11.00

Anyone joining after January 31^st pays half the annual subscription.

FOR SOCIETY USE

Subscription paid ...................................

Date received ....................................

To sign our Visitor's Book please complete the boxes below. Your comments are most welcome. When complete click on Sign Book to submit. Alternatively you can mail us direct on :Colin Brough .

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