Membership is open to anyone 18 years of age or older. A family membership includes applicant, a spouse or significant other and their children under 18 years of age (membership cards are issued to adults only.)

YEARLY DUES..............................INDIVIDUAL.........FAMILY

New .................................................$65.00.........................$75.00

Renewal.............................................$35.00.........................$45.00

Note:  Article III, Section 2b of the Bylaws requires an application be submitted every year. For renewing members the date would be their

 anniversary date, for grandfathered Life members that should occur in the first quarter of the year.

Reason for Application:       New member______        Renewing Members_______     Grandfathered Life member annual update _______

Enclosed is a: ____ Check ____ Money Order in the amount of $ ________________

NAME(S): ________________________________________ Phone: _(______)__________________

ADDRESS: ________________________________________________________________________

CITY: ______________________________________ STATE: ________ ZIP: ________________

Email address: ___________________________________________________________ Email The Gold Pan Newsletter ___Yes ___No

I hereby apply for membership in COMSTOCK GOLD PROSPECTORS. I, the undersigned, fully understand that whatever recreational event

I or my family attend, I am fully responsible and at no time will have legal or financial claim against, nor will hold responsible, any member or

club officer of COMSTOCK GOLD PROSPECTORS, for any damages or injuries received by my participation in any event.

I will be responsible for my own actions and the actions of my family or guests.

OTHER SIGNATURE: ________________________________________ DATE: _______________