City _______________________________ State ______________________ Zip _______________
Tel # ______________________________ Email __________________________________________
Have you ever belonged to a rock club? Yes____ No____ If so, where? ________________
Did you serve as an officer or committee member? Yes___ No___, but would like to____
Which of the following activities interest you the most?
_____Rock hunting field trips to collect rocks, crystals, minerals and fossils
_____Lapidary, the cutting and polishing of rocks into cabochons, spheres and eggs
_____Faceting gem material
_____Silver jewelry, design and fabrication
_____Rock tumbling, making polished rocks and gemstones for many uses
_____Wire wrapping and weaving, the art of capturing stones to make jewelry
_____Bead making and stringing of beads into necklaces, earrings, & other jewelry
_____Carving of stone, or wax carving and casting in metal
_____Using club workshop
_____Metal detecting
_____Mineralogy & Geology studies and activities
_____Involvement in the annual Gem and Mineral Show (Everyone is encouraged to
participate)
I am interested in taking a class offered in:
_____Lapidary – cutting and polishing rocks and gems
_____Faceting – creating gemstones for settings
_____Wire wrapping – capturing stones for pendants and other jewelry
_____Wire weaving – the art of wire jewelry
_____Beading – making necklaces, bracelets and other jewelry
_____Silversmithing – design and fabrication with silver
_____Tumbling – vibratory and rotary – polishing stones
_____Metal detecting
_____Opal Triplets
_____Use of GPS Equipment
_____Use of Club Workshop – learn the lapidary arts
_____Other interests? We will try to provide instruction ______________________________
Would you be interested in teaching in the area of your expertise? Please specify
Dues: $12 per person (children under 18 are free)
Dues year: January 1st thru December 31st
Please make check payable to MINGUS GEM AND MINERAL CLUB
Bring to next meeting or mail to 2nd VP in charge of Membership –
Mingus Gem & Mineral Club, PO Box 1284, Cottonwood, AZ 86326