U.S. Residents
(Age 19 & over)

 2 years ................  $48.00
 1 year   ................  $25.00

U.S. Residents
(under age 19, copy of your birth certificate required for new members)

 2 years ................  $18.00
 1 year   ................    $10.00

Life Membership ..............................................................................................................  $500

To help reduce the time and expense of maintaining our subscription database - 
Please renew for two years at a time.  Thank You !

Please print clearly

   ____ New member         ____ Renewal        ____ Address change       _____ Donation (tax deductible)

   Current expiration date:  Month: _______________   Year: _____________

   Name: ______________________________________    AMA number: _________

   Address: __________________________________________________________

   City, State, Zip: _____________________________________________________

   Telephone number: __________________________________________________

   Important please include your E-mail address, print clearly:

   __________________________________________________________________

If you have trouble printing this page you can download a membership application in either
MS Word Format or PDF format .

Send all new applications (please include a copy of birth certificate for U.S. Residents under the age of 19) and  renewals, with payment in US dollars, change of addresses and membership questions to:

NFFS Membership Office
Carl J. Bakay
118 Gentry Circle
Lafayette, LA 70508-6326
carl.bakay@scientificdrilling.com
(337) 504-4363