Fill-Out Form For Club Memebrship

North West Mineral Prospectors Club

Type in your Name:

Type in your Street Address:

Type in your City:

Type in your State, & Zip Code:

Type in your phone number:

Which types of prospecting are you interested in?
  1. Panning.
  2. Hand Sluicing.
  3. Dredging.
  4. Highbanking.

What equipment do you own?
  1. None.
  2. Dredge.
  3. Highbanker.
  4. Trommel.
  5. Sluice.
  6. Pan.
  7. Gas operated water pump.
  8. Pickup.

What kind of Outings are you interested in?
  1. Week Long Outing.
  2. One Day Outings.
  3. Over Night.

Are other members of your family interested in prospecting?
Yes.
No.
We have provided several methods for you to join our club. You may send this form by clicking the "SUBMIT" button, or you may print out this form and mail it to: PO Box 1973, Vancouver, Washington, 98, or you can send us this information via. e-mail to: NWMPC@hotmail.com.
Our club dues period runs from May 1st, to the following April 30th. The fee is $24.00 per year; for joining members we prorate the dues at $2.00 per month. This fee covers your family and/or your "significant other".
 

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