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Sign Up Now! Geographical Society Mail Order Form
(if you prefer to order online with a credit card, click here.) Please print this page, fill in your order for Membership or Tickets, and mail to: Please fill in your order for Membership or Tickets, and mail to: Geographical Society of Philadelphia, Box 67, Haverford PA 19041 Mr. / Mrs. / Ms. / Miss / Dr.
Name
Address
City
State
Zip code
Day telephone
Evening telephone
E-mail
Please add me to the
 mailing list e-mail list1.
Choose one of four membership options (all options include Member Benefits):
•
Magellan Circle Member
$125 single
$225 double
=
$
(Includes all films & Connoisseur Programs & Circle events as listed)
•
Series Member - 2 films for $25 per person
=
$
March 26 VOLCANIC SAFARI—INDONESIA
April 16 WORLDS of the MAYA: GUATEMALA and BELIZE
•
Supporting Member (no tickets included)
@
$20
per person
=
$
2.
Order Single Travelogue Film Tickets: (mark the number of tickets per show above)
(GSP members $10, non-members $12, students $6)
@
=
$
3.
Order Connoisseur Program Tickets:
(GSP members $12, non-members $15, Magellan Circle members free)
April 30
Italy - La Dolce Vista
@
=
$
4.
Please support the Society with a tax-deductible contribution:
Help fund student tickets, Exploration Grants, and Society programs.
$
5.
Thank you!
Total Amount
=
$
Payment Information Send to: Geographical Society of Philadelphia, Box 67, Haverford, PA 19041
Check enclosed payable to: Geographical Society of Philadelphia Charge to:VisaMasterCardDiscoverCredit Card No:
Name on Card:
Expiration Date:
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