Vein Mountain Recreational Miners Club
251 Lucky Strike Drive
Marion, NC 28752
(828) 738-4893

I would like to join the VMRC and take advantage of the mining, prospecting and
discount privileges. I have read and agree to abide by all club rules as described
to me at the time of receiving this application.

VMRC Membership: $100.00
Monthly Dues: $20.00
Total Amount Paid at Time of Entry: $_____ OR $340.00 1st Yr.
(Make checks payable to VMRC)
Please print legibly:
Applicant?s Name: _________________________________________D.O.B.___________
Wife?s Name: _________________________________________D.O.B.___________
Address: ______________________________________________
              (City)          (State)          (Zip)
Date: _____________     Phone:(      )____ -______
Applicant's Signature: _________________________________________
I have read the rules and regulations and
agree to abide by them while on club properties.

How did you hear about the Vein Mountain Recreational Miners Club?
(If club member, please give name)
Membership ID Number: _________

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