2010-2011 Membership Form:
The UBC Student Chapter of the Society of Economic Geologists and the
Geological Association of Canada
Check ONE of the following:
Student Membership (30$)
 includes student membership in the SEG, GAC, and the UBC Student Chapter
Student Membership with prior active SEG membership (15$)
 SEG member ID:
required
Student Membership with prior active GAC membership (20$)
 GAC member ID:
required
Student Membership with prior active SEG and GAC membership (5$)
 SEG member ID:
required
 GAC member ID:
required
I,
, authorize the executive committee of the UBC Student
Chapter of the SEG-GAC to register my 2010 membership to the SEG and GAC on my behalf.
Signature:
Date:
Applicant Information:
Street 1:
Street 2:
City, Province:
Postal Code:
Phone:
Email:
Program:
Year of Program:
Please provide us with a photocopy of your student ID as proof of student status.
Please fill out the SEG membership form if you are not already an SEG member.
Deadline for completed forms and full payment of dues is: Friday, 15th October 2010
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Benefits for members of the UBC Student Chapter of the SEG and GAC
5$ - Access to Student Chapter Activities, including:
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Local field trips (mid October)
Annual International Ore Deposit Field Trips (destination TBA)
Resource modelling, 3D modelling workshops (fall-10/winter-11)
Guest speakers from industry, government, and academia
Wilderness first aid course (early 2011)
10$ - GAC® Student Membership benefits, including:
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Online access to Geoscience Canada and GEOLOG magazines
Free membership for most GAC® Specialist Divisions and Regional Sections
Discounts on GAC® books and other publications
Reduced registration for GAC®-MAC meetings, short courses and field trips
15$ - SEG® Student Membership benefits, including:
 Online access to Economic Geology: the leading journal in the field of economic geology
 Online access to the SEG newsletter and membership directory
 Eligibility for undergraduate and graduate SEG Student Grants, Student Field Trip
Program, Graduate Student Fellowship Program, and the SEG Mentoring Program
 Discounts at the SEG On-Line Book Store
For Executive Committee Use:
Total Dues Paid:
Method of Payment (circle one):
Date:
cash
cheque
(Executive Committee Member signature)
(Academic Advisor signature)
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