SEPM Professional Member Application

THIS FORM IS FOR NON-MEMBERS ONLY

THIS FORM IS TO BE USED FOR 2009/2010

MEMBERS must complete the renewal form. The different renewal options available can be found at the Renewal page.

Type of Membership

Sustaining Membership
Give back to the science! Sustaining members provide substantial financial support for Society programs.

Voting Membership
Requires 3 years professional experience in earth science past the bachelor's degree level. Includes all privileges including voting in Council elections and holding office.

Associate Membership
Waives professional experience. May participate in all activities, serve on committees, etc., but not vote or hold office.

Spouse Membership

Journal Choice (required)

Journal of Sedimentary Research
Online access with year-end CD: $90
Online access with print copy of journal: $115
Postal surcharge to mail journal outside North America: $10

PALAIOS
Online access with year-end CD: $90
Online access with print copy of journal: $115
Postal surcharge to mail journal outside of North America: $10

Both Journals
Online access with year-end CDs: $135
Online access with print copies of journals: $185
Postal surcharge to mail journals outside North America: $20

Sustaining Membership
Online access to both journals: $300
Online access to both journals plus print copies of JSR: $300
Online access to both journals plus print copies of PALAIOS: $300

Personal Details

(use preferred mailing address)



Date of Birth

Preferred Mailing address:



Address (cont)



Contact Information:



Academic Record

Enter your Academic History in the spaces below (not required for Associate Membership)

1. Last

Institution
Major
Degree
Dates attended (mm/yy - mm/yy)

2. Previous

Institution
Major
Degree
Dates attended (mm/yy - mm/yy)

3. Previous

Institution
Major
Degree
Dates attended (mm/yy - mm/yy)

Experience

Enter your Professional Experience (may include post-Ph.D. appointments) in the spaces below.

1. Current

Employer

Employer
Address
Dates employed (mm/yy - mm/yy)

2. Previous

Employer
Address
Dates employed (mm/yy - mm/yy)

3. Previous

Employer
Address
Dates employed (mm/yy - mm/yy)

References (required for Voting membership):

The people listed as references do not need to be members of SEPM.

Name
Email

Name
Email

Please indicate your scientific affiliations:

AAPG
PS
IAS
AGU
GSA
Other

Payment Details





Total Amount to charge to card

Referred by: