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NAME:
COMPANION (If Applicable):
ADDRESS:
CITY: STATE: ZIP:
HOME PHONE:
WORK PHONE:
E-MAIL:
EMERGENCY CONTACT:
NON-REFUNDABLE DEPOSIT (For Each Weeks Stay):
Prospector package $250.00
The Gold Miner package $350.00
Bring Your Own Equipment Package $200.00
INDICATE THE WEEK(S) YOU PREFER TO PROSPECT:
| June 3 - June 14 |
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| June 17 - June 28 |
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| July 1 - July 12 |
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| July 15– July 26 |
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| July 29 - August 9 |
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| August 12 - August 23 |
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Please download the registration form, print it off, fill it out and mail to:
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Goldfever Prospecting
W2579 Hidden Lane
Seymour, WI 54165
Phone: 920-366-0430
Fax: 920-833-2346
Goldfev@aol.com
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After May 1st
Gold Fever Prospecting
Dean Race
77.5 Taylor Hwy
Chicken, AK 99732
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| *Please include your deposit with the registration form (check or credit card information to be processed upon receipt).
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After your reservation is confirmed and prior to departure, you will be asked to sign a waiver releasing Goldfever Prospecting of any responsibility.
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