Membership Application

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Montana Geological Society

Providing Education, Scholarships, and Community since 1949

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Name*
First Last
Company/Affiliation
Contact Information
Address*
Street Address City State ZIP Code
Phone (Work)*
Phone (Home)
Phone (Cell)
Email
Member Information
AAPG Member
- Yes
- No
Degree #1
Degree #2
Degree #3
Annual Dues
- $20 Regular
- $10 Student
Consultant Listing
Would you like to be listed in the online consultant directory?
- Yes
All submissions will be subject to review and approval by the MGS Board of Directors prior to posting.
Contact Name
First Last

(if different from above)
Contact Email

(if different from above)
Company Name
Company Phone
Area(s) of expertise
Please describe your company specialty.
Professional Certifications
Are you professionally certified or a certified geologist with the AIPG or similar professional societies? If so, list your certifications above.
Do you consider yourself to be an "independent consultant"?
- Yes
- No
Are you actively seeking consultant work?
- Yes
- No
Brief description of your area(s) of expertise:
Indicate your preference for being listed in one of the following categories:
- Petroleum/Oil & Gas
- Hardrock/Mining
- General Geology
- Environmental/Hydrogeology
- Geophysics
- Geotechnical Data Services
Which best describes your career status?*
- Student
- Early Career Professional (first 5 or 10 years of career)
- Professional
- Retired
Name
This field is for validation purposes and should be left unchanged.

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Montana Geological Society
PO Box 844
Billings, MT 59103

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