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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 13 - June 19 |
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July 18 July 24 |
| June 20 - June 26 |
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July 25 July 31 |
| June 27 - July 3 |
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August 1 August 7 |
| July 4 July 10 |
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August 8 August 14 |
| July 5 July 11 |
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August 15 August 21 |
| July 11 July 17 |
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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
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After May 1st
Gold Fever Prospecting
Dean Race
77.5 Taylor Hwy
Chicken, AK 99732
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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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