Cache Rock & Gem Club Membership Application/Renewal Form
Primary Contact: Bret Fonnesbeck 435-757-4927
Email: crgc.president@gmail.com
Mail to: 53 E 400 N Mendon, UT 84325
Information on this form is used to contact members and to know what direction our members would like the club to go. Please don’t assume we have this information.
Membership Year: 2021
Choose One: ___New Membership ___Renew Membership
Choose One: ___Single $15.00 ___Family $20.00
Personal Information - Answer all questions please.
Member’s Names: ________________________________________________________________________________________
Children Names & Ages, if applicable: ________________________________________________________________________________________
________________________________________________________________________________________
Mailing Address: ________________________________________________________________________________________
City: ____________________________________ State: ______________ Zip: ______________
Phone Number: ___________________________
Email:______________________________________________________________________ _____________
Do you have a Facebook account? ___Yes ___No (Club communication is via email and Facebook so join the Facebook Group)
Which topics do you have experience in?
___Minerals/Geology ___Metalsmithing ___Wire wrapping ___Cabochons
___Lapidary Equipment ___Cleaning Specimens ___Knapping ___Carving
___Faceting ___Education ___Fundraising ___Advertising
___Accounting ___Legal ___ Graphic Design ___Web Design
Would you be willing to teach/volunteer what you know?________________________________________________________________________________________
Which topics would you like to learn more about?
___Minerals/Geology ___Metalsmithing ___Wire wrapping ___Cabochons
___Lapidary Equipment ___Cleaning Specimens ___Knapping ___Carving
___Faceting
Additional topics you would like to learn about____________________________________________________________________________________
*** Please answer the following if you are a new member ***
How did you hear about the Cache Rock & Gem Club?________________________________________________________________________________________
What made you interested in rocks/gems/minerals?________________________________________________________________________________________
________________________________________________________________________________________
What is your favorite rock/gem/mineral?________________________________________________________________________________________
Why did you join the rock club?________________________________________________________________________________________
Where would you like to see the club go for collecting/rockhounding trips?________________________________________________________________________________________
Are you willing to go on paid digs?________________________________________________________________________________________
Primary Contact: Bret Fonnesbeck 435-757-4927
Email: crgc.president@gmail.com
Mail to: 53 E 400 N Mendon, UT 84325
Information on this form is used to contact members and to know what direction our members would like the club to go. Please don’t assume we have this information.
Membership Year: 2021
Choose One: ___New Membership ___Renew Membership
Choose One: ___Single $15.00 ___Family $20.00
Personal Information - Answer all questions please.
Member’s Names: ________________________________________________________________________________________
Children Names & Ages, if applicable: ________________________________________________________________________________________
________________________________________________________________________________________
Mailing Address: ________________________________________________________________________________________
City: ____________________________________ State: ______________ Zip: ______________
Phone Number: ___________________________
Email:______________________________________________________________________ _____________
Do you have a Facebook account? ___Yes ___No (Club communication is via email and Facebook so join the Facebook Group)
Which topics do you have experience in?
___Minerals/Geology ___Metalsmithing ___Wire wrapping ___Cabochons
___Lapidary Equipment ___Cleaning Specimens ___Knapping ___Carving
___Faceting ___Education ___Fundraising ___Advertising
___Accounting ___Legal ___ Graphic Design ___Web Design
Would you be willing to teach/volunteer what you know?________________________________________________________________________________________
Which topics would you like to learn more about?
___Minerals/Geology ___Metalsmithing ___Wire wrapping ___Cabochons
___Lapidary Equipment ___Cleaning Specimens ___Knapping ___Carving
___Faceting
Additional topics you would like to learn about____________________________________________________________________________________
*** Please answer the following if you are a new member ***
How did you hear about the Cache Rock & Gem Club?________________________________________________________________________________________
What made you interested in rocks/gems/minerals?________________________________________________________________________________________
________________________________________________________________________________________
What is your favorite rock/gem/mineral?________________________________________________________________________________________
Why did you join the rock club?________________________________________________________________________________________
Where would you like to see the club go for collecting/rockhounding trips?________________________________________________________________________________________
Are you willing to go on paid digs?________________________________________________________________________________________
