Student Membership in SEG is available to anyone

who is a full-time undergraduate or graduate student

in good standing at a recognized university or
college.

Application for Student Membership

Please print or type your information as you would like it to appear on your membership card.
A Contact Information — This is your:  Home  Office
 Mr.  Ms.  Dr. SEG ID Number (if previously a member): ___________________________
_______________________________________________________
__________________________________________________
First Name/Given, Middle Last Name/Surname

______________ __________________________________
 Male  Female
___________________
Date of Birth (DD/MM/YYYY) E-mail Address (REQUIRED) Phone Number

__________________________________________________________________________
________
Address Line 1

__________________________________________________________________________
________
Address Line 2

_________________________ _________________ _________________

____________________
City State/Province Postal/Zip Code Country

B Education – You must include a professor’s name and email for enrollment verification. Application will be returned if left
blank.
Expected Degree:  BS  MS  PhD Field of Study :
________________________________________________________________________ School Name:

________________________________ Start Date: ______________ Expected Graduation Date: ______________

Professor name: __________________________________ Professor e-mail: Student Chapter
____________________________________ Member
yes  No

C Membership Dues E Invoice and Membership Acceptance

Select your membership rate based on citizenship or primary work A. Membership Dues
residence; the assessed dues will be whichever rate is higher and
using the country classifications of the World Bank found at B. Additional Subscriptions (if
seg.org/classifications. US$21.00 (Group IV) US$5.00 applicable)
(Group I & II) C. Additional Subscriptions (at
10% off)
D. Additional Subscriptions (at
D My Benefits 10% off)
US$10.00 (Group III) D. SEG Foundation Donation (if
applicable)
F Code of Ethics Total Due =
USD
The following publications are included with your membership: New applicants will receive benefits once payment has been
 Geophysics online (1936-present) processed. Dues for the next year’s renewal will be prorated to
compensate for an entire year’s benefits. All applications and/or
 Global Meeting Abstracts online
payments received on or after 1 October will begin on 1 January
 Interpretation online of the next calendar year.
 Journal of Env. & Eng. Geophysics online
 SAGEEP Proceedings Payment must accompany form. Incomplete applications will be
returned and must be completed and returned to SEG within 30
days.
 The Leading Edge online I hereby attest that, pursuant to the requirements for acceptance
 Exploration Geophysics (ASEG) online in the Society of Exploration Geophysicists, I am actively
 ASEG Extended Abstracts online interested in geophysics, and accept the Code of Ethics as stated
on seg.org/ethics.
Add-on Subscriptions: Choose 1 (one) at full price or order 2
(two) or more and receive 10% off the second and subsequent
subscriptions.
 TLE in print US$38

Signature __
__________________________________ Date _____________

Technical Program Expanded Abstracts online

 Geophysics in print US$129 (or US$159 outside of the U.S.) G Payment

Interpretation in print US$59 (or $79 outside of the U.S.)

Geofacets US$39 (Groups III & IV) or $19 (Groups I & II)  Check (Make payable to SEG in U. S. dollars.)
 Wire Transfer (If selecting wire transfer as a method of
payment, an SEG representative will contact you with the
wire-transfer details.)

Please return form with payment to: SEG • P.O. BOX 801501 • KANSAS CITY, MO 64180-1501, USA
PHONE +1-918-497-5581 • FAX +1-918-497-5558 • members@seg.org • www.seg.org
A professor reference must be received within 60 days of application. If a reference is not received, the application will be canceled.
Student application fees are nonrefundable. For more information on our refund policy, visit seg.org/refund-policy.