Coterie Membership Online Form

Coterie of Missouri S&T is open to all people in the Rolla Community.

Annual Dues are $25 + $2 processing fee.

New Members Only
First Name*
Last Name*
Email*
Address*
City*
State*
Zip*
Directory Information (if preferred in directory)
Address
City
State
Zip
Primary Phone
Alternative Phone
Note: Your contact information will be published annually in the Coterie Directory unless you specify otherwise.
Please specify the following information you DO NOT want included in the Coterie of Missouri S&T Directory.
Check all that applies
Coterie of Missouri S&T reserves the right to use any photo/video taken at any event sponsored by Coterie without the expressed written consent of those included within the photograph/video for use in print, digital, and bradcast forms for promotional and informational purposes.
Check to Agree*