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membership SignUp or Renewal

pbs-sepm membership application/renewal

Permian Basin Section - SEPM

Membership Year June 1 - May 31

2900 W Front St

Midland, TX 79701

Phone: 432-279-1360

Email: info@pbs-sepm.org

Complete the online form and pay via PayPal.

Otherwise, download the Membership Form and bring it along with your dues to the next luncheon (cash/card/check)

To renew via USPS Mail, send the completed form, printed, with a CHECK made out to: PBS-SEPM.

Personal Information
Professional Information

Preferred Mailing Address

Universities, Degrees, Majors, Year(s) Graduated:

Would You Serve on one of the Committees?

Are you a member of any of the following?

Membership Dues

Professional:

Student:

$25.00

$10.00

Wendell J. Stewart Scholarship Fund:

Robert Read Jr. Memorial Fund:

(Helps offset the Distinguished Lecturer Expenses)

NEW: Sue T. Reid Scholarship Fund:

Please fill out the form and press SUBMIT before paying your dues.

Your content has been submitted. Please proceed to paying your dues below.

An error occurred. Try again later

After submitting, you must check out using one of the buttons below.

Dues + Donations Check-Out

Use this button if donating in addition to your annual dues.

1. Enter the donation amounts in the boxes before pressing submit.

2. Select "Donate"

3. Re-enter the total amount (including dues) into PayPal.

4. Checkout

Professional Check-Out, $25

Use this button if ONLY paying Professional annual dues ($25)

- Checkout via PayPal

Student Check-Out, $10

Use this button if ONLY paying Student annual dues ($10)

- Checkout via PayPal

***INSTRUCTIONS*** 

Please follow all instructions above. We will reiterate instructions below.

1. Fill out the form with your information.

 

2. Enter donation amounts in the respective boxes, if any (Enter '0' if not donating).

 

3. Press SUBMIT.

  You are NOT finished after pressing submit, you must continue to payment using one of the PayPal buttons.

4. Buy Now Button

  • Use this button if you are NOT donating, and only paying annual dues of Professional $25, or Student $10. You will be redirected to PBS-SEPM PayPal Site to submit the membership payment, or send a check if you prefer to the mailing address.

4. Donate Button

  • Use this button IF donating in addition to your annual dues. You will be redirected to the PBS-SEPM PayPal Site. Re-enter the total amount of donations (including $25 annual dues) and check out.

PBS-SEPM is an educational non-profit, 501(c)(3) organization. Thank you for your support!