The Geological Society of Glasgow
Registered Scottish Charity No. SC007013
Department of Geographical and Earth Sciences, Gregory Building, University of Glasgow, GLASGOW, G12 8QQ
www.geologyglasgow.org.uk
membership form
Please print this form, fill in the details and send it with your cheque made payable to
The Geological Society of Glasgow
to the Membership Secretary at the above address and email confirmation you have done so to gsgmemsec@ntlworld.com
I wish to join the Geological Society of Glasgow as: Note: SJG (Scottish Journal of Geology) is ONLY provided to Ordinary Members and to those Junior Members who pay the necessary supplement.   

If you require a receipt for the amount of your subscription, typically needed to support a claim for expenses or tax purposes, please tick here  

Title Forename Initials Surname

Address
Post code
*Email
*Degrees: *Professional Qualifications: 
Telephone contact numbers:
*home:    *business  *mobile    


Please indicate which of the following criteria for Junior Membership you meet:
please tick if age under 25. Date of Birth (dd/mm/yyyy):
please tick if full time undergraduate student at (University/College)
please tick if recent (ie within 4 years) graduate of   (University/College)
date of graduation:
*Optional information