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 $40 for an individual membership and $50 for a family membership.

First Name:      Last Name:

Street address:      Apartment #:

City or Town:

State:      Zip code:

Phone:      Email:

MEMBERSHIP TYPE:

      INDIVIDUAL $40                       FAMILY $50

MEMBERSHIP STATUS:

      NEW MEMBER                            RENEWAL

Name on Cards:

1)

2)

3)

4)

5)

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

Denise Kroth
85 Beaver Run Road
Lafayette, NJ 07848