IGPA 2008
Membership Application
Name (including
Spouse):______________________________________
Address:
_______________________________________
City:
__________________________State: _______________Zip________
Phone:
__________________ email: _______________________________
Disclaimer/Release
I acknowledge that prospecting and prospecting locations
can be dangerous, with numerous natural and artificial hazards. I hereby agree
to hold the Idaho Gold Prospectors Association (IGPA), its officers and members
free and clear of any group or personal injury that I or my family or guests
may incur while attending IGPA functions or while on any property leased, owned
or under control of the IGPA. I also agree to abide by the Constitution,
by-laws, code of ethics and rules of IGPA.
Signature: _____________________________________Date:
_____________________
Annual membership dues: ¨ Individual - $20.00 Make check payable to IGPA
¨ Couple -
$25.00 Mail to : IGPA
Treasurer
¨ Family -
$30.00 P.O.
Box 190124
Boise, Id 83719-0124