THE CANADIAN SOCIETY FOR COAL SCIENCE AND ORGANIC PETROLOGY
Membership Application Form...


Applicant's name:                                                                                         

Affiliation:                                                                                                      

Address:                                                                                                         

                                                                                                                          

                                                                                                                          

                                                                                                                          

Affiliation
(please indicate)
Categories:
   Academia   Government   Industry   Consultant
Areas of Interest:
    Coal    Oil/Gas    CBM   Environment

Sponsoring member(s):                                                                                                     

                                                                                                                                              

Membership type (circle one)         Regular         Student

Telephone:                                                    Fax:                                                   

E-mail:                                                                                                     

Membership dues are $25 ($10 Students) / year (fiscal year starts May 1st)

Amount enclosed:                                 Make cheque payable to: CSCOP

Signature:                                                                                  Date:                               

Mail to: 
Andrew Beaton
Alberta Geological Survey
4th floor, Twin Atria Building
4999-98 Avenue Edmonton AB
T6B 2X3
Phone: 780-427-0809
Fax:     780-422-1459
Email: Andrew.Beaton@gov.ab.ca

Instructions