Membership Application

FRLMS Membership Application

Complete the form below to automatically send us your information

Please provide your contact information.

Are you a new member or renewing your membership?

NewRenewing Invalid Input

First and Last Name(*)

Please type your full name.

Additional Adult (18 and older if applicable)

Invalid Input

Youth Names (17 and younger)

Invalid Input

Address (# and street)(*)

Invalid Input

City(*)

Invalid Input

State(*)

Invalid Input

Zipcode(*)

Invalid Input

Home Phone Number with area code (if applicable)

Invalid Input

Cell Phone Number (if applicable)

Invalid email address.

Email Address(*)

Invalid Input

Additional Email Addresses

Invalid Input

Have you been in a rock club before?

YesNo Invalid Input

Are you a 2018 member of the Paradise Club?(*)

YesNo

Invalid Input

For more information on you membership, please contact membership@featherriverrocks.org

How do you plan to pay for your membership?(*)

Next meeting (cash or check)Paypal (can use credit card)Free (2018 member of Paradise Club in good standing)

Invalid Input

SPECIAL NOTE: On occasion, the FRLMS,inc. may want to use photographs of you and/or members of your household on social media, website, or publications. Sending this application authorizes the club to use your photograph.

Real person verification(*)

Invalid Input

Contact Info

Feather River Lapidary & Mineral Society
PO Box 2645
Oroville, CA 95965-2645

Send us a message!