
SPECIAL OFFER!
Online Sign-up Form
Welcome! Please print this page and fill it out, then send it to us via the U.S. Postal Service, fax to (530) 493-2095, or copy and paste the
questions and answers into an email. Check all that apply. If you have further
questions, call (530) 493-2012 or send them email.
Don't know how to "Copy and
Paste?" Just read these instructions:
[ ] Please enroll me as a full member of
The New 49'ers. My check or charge in the amount of $2,250.00 is enclosed for full payment
(includes 10% discount for advance payment).
[ ] Please enroll me as a full member of The New
49'ers under the extended payment plan. Enclosed is my non-refundable down payment of $200. I understand that my balance of $2300.00 will be paid in the amount of $22.50 or more each month, commencing from this
date.
[ ] Please enroll me as a New 49'er Associate Member for one year for $100. I will receive one FREE week of my choice per year (between 1 May and 30 September) on the New 49'er claims; I am also invited to attend any or all of the Club's scheduled weekend group mining projects at no charge, and receive the 49'er newsletter.
[ ] Please send me your free
30-minute video.
Credit card number:

"Oh boy! Gonna join..."
[ ] M/C [ ]
Visa Expiration Date of card
Name on Card (Print)
Signature:
Today's Date:
Member's Name:
_______________________________________________
Member Address:
_____________________________________________
Member Town or City:
____________________________ Zip: _________
Daytime Telephone #:
__________________________________________
Home phone if different:
________________________________________
Congratulations!
"...And,
Hey! Welcome to the club.
We're looking forward to meeting you."
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