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NAME:
COMPANION (If Applicable):
ADDRESS:
HOME PHONE:
WORK PHONE:
E-MAIL:
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:
| May 31 June 6 |
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July 19 July 25 |
| June 7 - June 13 |
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July 26 August 1 |
| June 14 - June 20 |
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August 2 August 8 |
| June 21 - June 27 |
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August 9 August 15 |
| June 28 July 4 |
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| July 5 July 11 |
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| July 12 July 18 |
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Please Mail this registration page along with deposit to:
Goldfever Prospecting
W2579 Hidden Lane
Seymour, WI 54165
Phone: 920-366-0430
Fax: 920-833-2346
Goldfev@aol.com
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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