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  
June 17 - June 28  
July 1 - July 12  
July 15– July 26  
July 29 - August 9  
August 12 - August 23  
Please download the registration form, print it off, fill it out and mail to:
Goldfever Prospecting
W2579 Hidden Lane
Seymour, WI 54165
Phone: 920-366-0430
Fax: 920-833-2346
Goldfev@aol.com
After May 1st
Gold Fever Prospecting
Dean Race
77.5 Taylor Hwy
Chicken, AK 99732
*Please include your deposit with the registration form (check or credit card information to be processed upon receipt).

After your reservation is confirmed and prior to departure, you will be asked to sign a waiver releasing Goldfever Prospecting of any responsibility.