Franklin-Ogdensburg Mineralogical Society - FOMS Membership Form

Membership in FOMS includes scheduled meetings, lectures, and field trips, as well as a subscription to The Picking Table.
To become a member of the Franklin-Ogdensburg Mineralogical Society, please fill out and then print the membership form below. Please do not forget to mark which membership category you prefer, and whether you are a new or renewing member. If you know your full 9-digit zip code, please provide it also. For questions or further information call us at 973-209-7212.

   Dues are $20 for an individual membership and $25 for a family membership.


First Name:      Last Name:

Street address:      Apartment #:

City or Town:

State:      Zip code:

Phone:      Email:


MEMBERSHIP TYPE:

      INDIVIDUAL $20                       FAMILY $25


MEMBERSHIP STATUS:

      NEW MEMBER                            RENEWAL


Name on Cards:


1)

2)

3)

4)

5)


Print this form to mail in with payment (Please make check payable to FOMS)  
Mail completed membership form with payment to:


Denise Kroth
85 Beaver Run Road
Lafayette, NJ 07848