Print this page and send the completed form to: Holger Hartmaier, 151 Woodhaven Drive, Okotoks, AB T1S 1L8 ===== Phone: 403-938-5941 ~ E-mail: hhart@telusplanet.net Note - One application per person

CALGARY ROCK AND LAPIDARY CLUB APPLICATION FOR MEMBERSHIP

NAME:	PHONE:
ADDRESS:
CITY:	CODE:
EMAIL ADDRESS:

AGE GROUP: (circle one)

Pebble Pup under 14

Junior 14-17

Adult 18-64

Senior 65 +

Full Time Student (18+) School/Institution:

OCCUPATION:

Note: Membership dues to accompany application $ Cheques paytable to CRLC

Approved by Membership Committee on

I am interested in the following activities and hobbies:
	Cutting and polishing Rock		Copper Enameling
	Jewelry Making		Faceting
	Mineral Specimens		Lost Wax Casting
	Silversmithing		Field Trips
	Fossils		Soft Stone Carving
	Other: please specify

If accepted as a member of the Calgary Rock & Lapidary Club, I promise to abide by all the rules and regulations as recorded in the Constitution and By-Laws of the Club; I promise to serve the Club Cheerfully and share my knowledge, experience and discoveries with other members; I promise to do anything I can to promote goodwill and friendship amongst the members and further the aims of the Club in my Community to the best of my ability. I hereby apply for membership in the Calgary Rock & Lapidary Club. (If under 18 - Date & Year of Birth)

(Signature of Applicant)