Northern Colorado Chapter
Colorado Archaeological Society
Membership Application

I/We ____________________________________________________ do hereby agree to uphold and abide by the Code of Ethics as a condition of membership in the Colorado Archaeological Society (CAS) and the Northern Colorado Chapter.

NAME(S)____________________________________________________________

ADDRESS____________________________________________________________

CITY____________________________ STATE________ ZIP__________________

PHONE____________(H)_____________(W)  E-MAIL_______________________

Membership type (check one):  

___ Renewal     ___ New Member Joining Jan-Jun     ___ New Member Joining Jul-Dec

Renewal
or New Member
Joining Jan-Jun

New Member
Joining Jul-Dec

Category

___ $26.00 ___ $13.00 Individual
___ $32.50 ___ $16.25 Family
___ $18.00 ___ $ 9.00 Student (includes Southwestern Lore, must be currently enrolled)
___ $18.00 ___ $ 9.00 Senior (does not include Southwestern Lore)
___ $22.50 ___ $11.25 Senior Family (does not include Southwestern Lore)

Note:  Renewals are due in January each year.  New members joining after June 30 pay half the annual dues for the remainder of the year.

Donation to the Greenacre Scholarship Fund: $________

Please make your check payable to the Northern Colorado Chapter/CAS.  Print this page, fill out the application, and send with your check to:

Northern Colorado Chapter/CAS
P.O. Box 270738
Fort Collins, CO 80527

Note:  Your dues include concurrent membership in the Colorado Archaeological Society and the Northern Colorado Chapter, a subscription to the Chapter newsletter, the Folsom Point, four issues of the journal Southwestern Lore, and four issues of the CAS newsletter, the Surveyor.   The Colorado Archaeological Society is a nonprofit 501(c)3 organization.

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