Supporter Form All entries marked with an asterisk * are required for the form to be successfully submitted to the Membership Committee.Section 1: Age Qualification *Age Qualification:*Select from DropdownI am 13 years old or youngerI am 14 years old or older, but less than 18I am 18 years old or olderGMA cannot accept members 13 years of age or younger.Section 2: Membership TypeMembership Type & Dues:*Select Yearly or Lifetime DuesSupporter - $10/year (after Nov. 15 = $20/year)Supporter (Lifetime) - $200Financial Assistance: I require financial assistance. Student: I am enrolled in college/university. Developing Country: I reside in a Developing Country (based on Research4Life countries). Financial Need Considerations:Please provide information supporting your request for lowered dues.1) If a student, please provide the school name and location. 2) If from a developing country, explain why you are requesting reduced dues.Donation:A purely voluntary donation to help support our programs, activities and expenses. Donations have no influence on the board or your application. Total Payment: Section 3: Applicant InformationUsername:* Name:* First Last Email:* Address:* City or Nearest City State / Province / Region ZIP / Postal Code Country *AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone:Section 4: Meteorite Knowledge & BackgroundLevel of Meteorite Knowledge:*Select from DropdownLove science and want to support the GMANo experience - Interested in subject.Beginner - Starting to learn.Intermediate - Understand basic differences between most meteorite types.Expert (Hobbyist) - Understand advanced topics.Expert (meteoriticist, curator, planetary geologist) - Expert in my field.Year You Acquired Your First Meteorite:*202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950Did you attend any meteorite-related trade shows in last 5 years? Yes No Trade Shows Attended:Please include the show's name and if you attended as buyer, seller, visitor or combination thereof. Edit and delete text below as needed.1) Tucson Gem & Mineral Show 2) Ensisheim 3) Denver 4) Munich 5) Other showsAny social networking profiles, websites or auction sites you wish to share? Yes No Digital Presence: Add RemoveAny favorite meteorite-related books or references? Yes No Books & References:Book Title:Author: Add RemovePlease include the book title and author.Section 5: Agreement & ConsentConsent to Process & Collect Information:* I consent to the processing of information provided in this form per the GMA's "Privacy Policy", and have read and accept the "Website Terms of Service". Payment Method*PayPal Checkout MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name CAPTCHA
