NMMS Membership Application
(choose one)
I am enclosing my dues of $20 for regular membership in the New Mexico Mycological Society. I understand that membership will include my spouse or partner and any children under the age of 18.
New Members joining after June 30th pay $10 for the remainder of the calendar year.

I am enclosing my dues of $15.00 for student membership in the New Mexico Mycological Society. I am presently a full-time student at in , NM.


Name:   Name of spouse or partner:

Address:   Children no.   ages , , ,

City:   ST:   Zip:

Phone-Home:   Work:  Email:


I would be interested in the following; Please mark those which apply.
Learning more about cooking with mushrooms.
Learning more about cultivating edible mushrooms.
Helping with the planning and carrying out of the annual Foray.
Learning more about the microscope in identification of mushroom species.
Helping with creating and setting up educational exhibits.
Giving presentations or lectures about mushrooms as my expertise allows.
Other

Signature   Date
Mail payment and completed form to

NMMS Treasurer
23 Piņon Court
Placitas, NM 87043-9251

(Make checks payable to NMMS)

Note: This form doesn't actually do anything. It is configured this way just for ease of user input. It is intended to be printed and mailed. The user can fill in the blanks before printing or print the blank form and fill it in by hand. It makes no difference.

www.mycowest.org/nmms/appform1.htm
dmw . 2009-04-11